SEC Form 4 · accession 0001209191-16-142906
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
Sep 26, 2016
Accepted (ET)
Sep 27, 2016 · 5:02 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 | — | Sep 26, 2016 | F | 8,357 | D | — | — | Class A Common Stock | 8,357 | 46,789 | D |
Explanation of responses
- F1Shares of Class B common stock of First Data Corporation (FDC) are convertible into shares of Class A common stock of FDC on a one-for-one basis at any time at the option of the holder with the prior written consent of FDC, 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.
- F3Includes 28,121 shares of restricted Class B common stock, 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