SEC Form 4 · accession 0001209191-18-054750
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
Oct 8, 2018
Accepted (ET)
Oct 10, 2018 · 9:46 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 Shares | Oct 8, 2018 | M | 106,050 | $3.54 | A | 274,175 | D | |
| Common SharesF1 | 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)F2 | $3.54 | Oct 8, 2018 | M | 106,050 | D | — | Feb 2, 2021 | Common Shares | 106,050 | 0 | D |
Explanation of responses
- F1Represents 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.
- F2These options are immediately exercisable.