SEC Form 4/A · accession 0000899243-16-026216
FIRST DATA CORP · FDC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Christine E Larsen
Officer — See Remarks
Period of report
Apr 11, 2016
Accepted (ET)
Aug 3, 2016 · 4:25 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 StockF3,F1,F4 | — | Apr 11, 2016 | F | 196,249 | D | — | — | Class A Common Stock | 196,249 | 341,570 | 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.
- F3This Form 4 is being amended to report the correct number of shares withheld to pay tax obligations in connection with the vesting of restricted stock awards and to correct the resulting balance of securities beneficially owned by the Reporting Person following the transaction.
- F4Includes 139,596 shares of restricted Class B common stock of the Issuer, including 65,250 of which will vest on January 1, 2017 and 74,346 of which will vest in two equal installments on January 1, 2017 and January 1, 2018, subject to continued employment through the applicable vesting dates. Ms. Larsen's Form 3 filing had incorrectly reported 379,637 shares of restricted Class B common stock of the Issuer scheduled to vest on June 3, 2016 rather than on the date of the expiration of the 180-day lock-up period in connection with the Issuer's initial public offering (April 11, 2016).
Remarks
Title - Executive Vice President, Chief Operations Officer