SEC Form 4 · accession 0001209191-18-001294
Restaurant Brands International Inc. · QSR
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul J Fribourg
Director
Period of report
Dec 30, 2017
Accepted (ET)
Jan 3, 2018 · 6:24 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 SharesF1 | Dec 30, 2017 | A | 2,277 | $0.00 | A | 168,125 | D | |
| Common SharesF2 | holding | — | — | — | 384,024 | I | See Footnote |
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)F3 | $3.54 | holding | — | — | — | — | Feb 2, 2021 | Common Shares | 106,050 | 106,050 | D |
Explanation of responses
- F1Represents restricted stock units that are earned and vested upon grant and that settle upon termination of board service.
- F2Represents an indirect interest held by a corporation of which the Reporting Person is the Chairman and CEO. The Reporting Person disclaims beneficial ownership of the reported shares except to the extent of his pecuniary interest therein.
- F3These options are immediately exercisable.