Chief Financial Officer Siddiqui Sami A. gifted 61,955 shares and received a gift of 61,955 shares, decreasing direct ownership by 80% to 15,366 units (SEC Form 4)
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Restaurant Brands International Inc. [ QSR ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/23/2024 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Shares | 08/23/2024 | G | 61,955(1) | D | $0 | 15,365.7039 | D | |||
Common Shares | 08/23/2024 | G | 61,955(1) | A | $0 | 178,589 | I | By Trust(2) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option (Right to Buy) | $55.55 | (3) | 02/23/2027 | Common Shares | 80,000 | 80,000 | D | ||||||||
Option (Right to Buy) | $66.31 | 02/21/2025 | 02/20/2030 | Common Shares | 20,000 | 20,000 | D | ||||||||
Restricted Share Units | (4) | (5) | (5) | Common Shares | 8,407.1622 | 8,407.1622 | D | ||||||||
Performance Share Units | (6) | 02/21/2025 | 02/21/2025 | Common Shares | 23,473.8578 | 23,473.8578 | D | ||||||||
Performance Share Units | (7) | 02/21/2025 | 02/21/2025 | Common Shares | 22,708.2394 | 22,708.2394 | D | ||||||||
Restricted Share Units | (4) | (8) | (8) | Common Shares | 2,890.4302 | 2,890.4302 | D | ||||||||
Restricted Share Units | (4) | (9) | (9) | Common Shares | 4,709.7092 | 4,709.7092 | D | ||||||||
Performance Share Units | (10) | 02/25/2025 | 02/25/2025 | Common Shares | 42,972.8623 | 42,972.8623 | D | ||||||||
Restricted Share Units | (4) | (11) | (11) | Common Shares | 6,996.9757 | 6,996.9757 | D | ||||||||
Performance Share Units | (12) | 02/22/2026 | 02/22/2026 | Common Shares | 38,674.1165 | 38,674.1165 | D | ||||||||
Restricted Share Units | (4) | (13) | (13) | Common Shares | 14,161.9199 | 14,161.9199 | D | ||||||||
Performance Share Units | (14) | 03/15/2027 | 03/15/2027 | Common Shares | 47,170.1653 | 47,170.1653 | D |
Explanation of Responses: |
1. The Reporting Person gifted these shares to his revocable trust in an exempt transaction pursuant to Rule 16b-5 under the Securities Exchange Act of 1934, as amended. |
2. These shares are held by a revocable trust, of which the Reporting Person is the settlor and trustee for the benefit of the Reporting Person. |
3. These options are fully vested and exercisable. |
4. Each restricted share unit represents a contingent right to receive one common share. |
5. These restricted share units vest on December 31, 2024. |
6. The shares reported represent an award of performance based restricted share units (the "2020-1 PBRSUs") granted to the Reporting Person. The 2020-1 PBRSUs have a performance period ending December 31, 2021 and will vest on February 21, 2025, which is the fifth anniversary of the grant date. |
7. The shares reported represent an award of performance based restricted share units ("2020-2 PBRSUs") granted to the Reporting Person. The 2020-2 PBRSUs will have a performance period beginning January 1, 2021 and ending December 31, 2021 and will vest on February 21, 2025, which is the fifth anniversary of the grant date. |
8. These restricted share units vest in equal installments on December 31, 2021, December 31, 2022, December 31, 2023 and December 31, 2024. |
9. These restricted share units vest in equal installments on December 31, 2022, December 31, 2023, December 31, 2024 and December 31, 2025. |
10. The shares reported represent an award of performance based restricted share units ("2022 PBRSUs") granted to the Reporting Person. The 2022 PBRSUs will have a performance period beginning January 1, 2022 and ending December 31, 2024 and to the extent earned will vest on February 25, 2025. The number of common shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition. |
11. These restricted share units vest in equal installments on December 15, 2023, December 15, 2024, December 15, 2025 and December 15, 2026. |
12. The shares reported represent an award of performance based restricted share units ("2023 PBRSUs") granted to the Reporting Person. The 2023 PBRSUs will have a performance period beginning January 1, 2023 and ending December 31, 2025 and to the extent earned will vest on February 22, 2026, the number of common shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition. |
13. These restricted share units vest in equal installments on December 15, 2024, December 15, 2025, December 15, 2026 and December 15, 2027. |
14. The shares reported represent an award of performance based share units ("2024 PSUs") granted to the Reporting Person. The 2024 PSUs will have a performance period beginning February 23, 2024 and ending February 23, 2027 and to the extent earned will vest on March 15, 2027. The number of common shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition. |
Remarks: |
/s/ Michele Keusch, as Attorney-in-Fact for Sami Siddiqui | 08/27/2024 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |