SEC Form 4 · accession 0001209191-16-147315

FIRST DATA CORP · FDC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Executive Officer · Director

Period of report

Oct 26, 2016

Accepted (ET)

Oct 28, 2016 · 4:58 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000883980

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class A Common Stock^F1	Oct 26, 2016	C	32,803	$0.00	A	1,740,943	D
Class A Common Stock	Oct 26, 2016	G	15,082	$0.00	D	1,725,861	D
Class A Common Stock	Oct 26, 2016	G	15,082	$0.00	D	1,710,779	D
Class A Common Stock	Oct 27, 2016	G	1,885	$0.00	D	1,708,894	D
Class A Common Stock	Oct 27, 2016	G	754	$0.00	D	1,708,140	D
Class A Common Stock	holding	—	—		—	1,900	I	By Trust
Class A Common Stock	holding	—	—		—	5,800	I	By Spouse
Class A Common Stock^F3	holding	—	—		—	10,190	I	See footnote

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Class B Common Stock^F4,F5	—	Oct 26, 2016	C	32,803	D	—	—	Class A Common Stock	32,803	2,281,471	D
Class B Common Stock^F6,F4	—	holding	—	—	—	—	—	Class A Common Stock	602,599	602,599	I

F1Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock.
F2Represents a charitable donation of shares of Class A common stock by the reporting person.
F3These shares are held in accounts for the benefit of the reporting person's children.
F4Shares of Class B common stock (Class B Common Stock) of First Data Corporation (FDC) are convertible into shares of Class A common stock of FDC (Class A Common Stock) 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.
F5Includes 788,697 shares of restricted Class B Common Stock.
F6Held by the Frank J. Bisignano 2015 Grantor Retained Annuity Trust.