SEC Form 4 · accession 0001209191-17-019783

Restaurant Brands International Inc. · QSR

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Mar 9, 2017

Accepted (ET)

Mar 10, 2017 · 1:07 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001618756

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Shares^F1	Mar 9, 2017	M	141,105	$3.54	A	160,587	D
Common Shares	Mar 9, 2017	S	141,105	$54.29	D	19,482	D
Common Shares^F3	Mar 9, 2017	P	141,105	$54.29	A	5,419,230	I	See Footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Option (right to buy)^F1,F4	$3.54	Mar 9, 2017	M	141,105	D	—	Feb 28, 2022	Common Shares	141,105	0	D

F1Due to an inadvertent error, the exercise price reported on the Form 4s previously filed was $3.98, instead of $3.54.
F2No profit was derived by the Reporting Person as a result of the sale and purchase transactions between the Reporting Person and Societe Familiale d'Investissements as reported herein.
F3Represents an indirect interest held by Societe Familiale d'Investissements. The Reporting Person is an indirect beneficial owner of equity interests in Societe Familiale d'Investissements. The Reporting Person disclaims beneficial ownership of any shares in which he does not have a pecuniary interest.
F4These options are immediately exercisable.