SEC Form 4 · accession 0000899243-16-018057
FIRST DATA CORP · FDC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey I Hack
Officer — See Remarks
Period of report
Apr 11, 2016
Accepted (ET)
Apr 13, 2016 · 4:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000883980
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF1,F3 | — | Apr 11, 2016 | F | 2,602 | D | — | — | Class A Common Stock | 2,602 | 55,146 | D |
Explanation of responses
- F1Shares of Class B common stock of First Data Corporation (the "Issuer") are convertible into shares of Class A common stock of the Issuer on a one-for-one basis at any time at the option of the holder with the prior written consent of the Issuer, automatically upon transfer, with certain exceptions, and upon certain other events.
- F2Represents shares withheld to pay tax obligations in connection with the vesting of restricted stock awards.
- F3Includes 50,718 shares of restricted Class B common stock of the Issuer, including 22,597 of which will vest on September 26, 2016, and 28,121 of which will vest in two equal installments on February 7, 2017 and February 7, 2018, subject to continued employment through the applicable vesting dates.
Remarks
Title - Executive Vice President, Global Business Solutions