SEC Form 4 · accession 0001209191-17-064779
FIRST DATA CORP · FDC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew Gelb
Officer — See remarks
Period of report
Dec 6, 2017
Accepted (ET)
Dec 8, 2017 · 5:20 pm EST
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 StockF1 | Dec 6, 2017 | C | 1,125 | $0.00 | A | 418,777 | D | |
| Class A Common Stock | Dec 6, 2017 | G | 1,125 | $0.00 | D | 417,652 | D |
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,F4 | — | Dec 6, 2017 | C | 1,125 | D | — | — | Class A Common Stock | 1,125 | 86,596 | D |
Explanation of responses
- F1Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock.
- F2Represents charitable donation of shares of Class A common stock by the reporting person.
- F3Shares of Class B common stock are convertible into shares of 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 the issuer, automatically upon transfer, with certain exceptions, and upon certain other events.
- F4Includes 17,137 shares of restricted Class B common stock.
Remarks
Executive Vice President, Global Financial Services