SEC Form 4 · accession 0001209191-17-058474
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ali Hedayat
Director
Period of report
Oct 30, 2017
Accepted (ET)
Oct 31, 2017 · 5:33 pm EDT
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 SharesF1 | Oct 30, 2017 | P | 5,000 | $64.58 | A | 30,966 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (right to buy)F2 | $46.77 | holding | — | — | — | Aug 9, 2021 | Aug 8, 2026 | Common Shares | 21,381 | 21,381 | D |
Explanation of responses
- F1Represents the weighted average price of the shares purchased. The reported shares were purchased in Canadian dollars at prices ranging from USD $64.56 to USD $64.61 per share (based upon the Bank of Canada's daily exchange rate on October 30, 2017 of 0.7790). The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares purchased at each separate price.
- F2The options were issued with an exercise price of CAD $61.65. The reported exercise price represents the U.S. dollar equivalent.