SEC Form 4 · accession 0001209191-17-001312
FIRST DATA CORP · FDC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph J Plumeri
Director
Period of report
Jan 1, 2017
Accepted (ET)
Jan 4, 2017 · 5:55 pm EST
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 | — | Jan 1, 2017 | F | 179,805 | D | — | — | Class A Common Stock | 179,805 | 890,001 | D |
| Class B Common StockF4,F1 | — | holding | — | — | — | — | — | Class A Common Stock | 250,000 | 250,000 | I |
Explanation of responses
- F1Shares 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.
- F2Represents shares withheld to pay tax obligations in connection with vesting of restricted stock.
- F3Includes 102,502 shares of restricted Class B common stock.
- F4Held by the Joseph J. Plumeri II 2016 Grantor Retained Annuity Trust.