SEC Form 4 · accession 0001209191-18-057799
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
Nov 6, 2018
Accepted (ET)
Nov 8, 2018 · 6:10 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 | holding | — | — | — | 55,313 | D | ||
| Common SharesF2 | holding | — | — | — | 384,024 | I | See Footnote | |
| Common SharesF1 | holding | — | — | — | 218,862 | I | By GRAT |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Exchangeable unitsF3,F2 | — | Nov 6, 2018 | J | 75,678 | A | — | — | Common Shares | 75,678 | 75,678 | I |
Explanation of responses
- F1Reflects shares previously held directly by the Reporting Person which were contributed to the Reporting Person's grantor retained annuity trust.
- 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.
- F3Each Restaurant Brands International Limited Partnership exchangeable unit is convertible, at the Reporting Person's election, into common shares of Restaurant Brands International Inc. or a cash amount equal to a prescribed cash amount determined by reference to the weighted average trading price of Restaurant Brands International Inc.'s common shares on the New York Stock Exchange for the 20 consecutive trading days ending on the last business day prior to the exchange date, at the sole discretion of the general partner of Restaurant Brands International Limited Partnership (subject to the consent of the Restaurant Brands International Inc. conflicts committee, in certain circumstances). This conversion right has no expiration date.
- F4Represents a distribution from 3G Restaurant Brands Holdings LP to its limited partner, a corporation of which the Reporting Person is the Chairman and CEO.