SEC Form 4 · accession 0000899243-18-030154
CARROLS RESTAURANT GROUP, INC. · TAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
Burger King Holdings Inc
Director · 10% Owner
Burger King Corp
Director · 10% Owner
Burger King Worldwide Holdings, Inc.
Director · 10% Owner
Period of report
Nov 30, 2018
Accepted (ET)
Dec 4, 2018 · 9:18 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000809248
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Convertible Preferred StockF1,F2,F3 | — | Nov 30, 2018 | D | 93 | D | — | — | Common Stock | 8,755,559 | 7 | I |
Explanation of responses
- F1Convertible Preferred Stock converts into shares of common stock of the Issuer on a 1 to 94,145.80 basis. Based on the shares of Convertible Preferred Stock held prior to the transaction, Burger King Corporation ("BKC") had the right to acquire, at any time at the option of the holder, 9,414,580 shares of common stock of the Issuer.
- F2Pursuant to an internal reorganization, BKC transferred 93 shares of Convertible Preferred Stock, representing the right to convert into 8,755,559 shares of common stock, for value to another indirect subsidiary of Restaurant Brands International Limited Partnership ("Partnership").
- F3This report is being filed jointly by Burger King Holdings, Inc. ("BKH"), Burger King Worldwide Holdings, Inc. ("BKW") and BKC. The reported securities are owned directly by BKC. BKH owns 100% of the issued and outstanding common stock of BKC. BKW indirectly owns 100% of the issued and outstanding common stock of BKH. Jose E. Cil and Matthew Dunnigan, executive officers of the general partner of the Partnership, serve as directors on the Issuer's board of directors.