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 |
| |||||||||||||||
| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Restaurant Brands International Inc. [ QSR ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| ||||||||||||||||||||||||
| 3. Date of Earliest Transaction (Month/Day/Year) 01/05/2021 | ||||||||||||||||||||||||||
| 4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
| |||||||||||||||||||||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 01/05/2021 | A | 176.1516(1) | A | $0.00 | 313,371.6945 | D | |||
| Common Shares | 01/05/2021 | S | 8,191.3329(2) | D | $58.95 | 305,180.3616 | D | |||
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||
| Exchangeable units(3) | (3) | (3) | (3) | Common Shares | 52,965 | 52,965 | D | ||||||||
| Option (right to buy) | $27.28 | (4) | 03/06/2024 | Common Shares | 15,945 | 15,945 | D | ||||||||
| Option (right to buy) | $27.28 | (4) | 03/06/2024 | Common Shares | 40,000 | 40,000 | D | ||||||||
| Option (right to buy) | $42.26 | (4) | 03/05/2025 | Common Shares | 13,665 | 13,665 | D | ||||||||
| Option (right to buy) | $42.26 | (4) | 03/05/2025 | Common Shares | 66,667 | 66,667 | D | ||||||||
| Option (right to buy) | $33.67 | 02/26/2021 | 02/25/2026 | Common Shares | 70,000 | 70,000 | D | ||||||||
| Restricted Share Units | (5) | (6) | (6) | Common Shares | 11,701 | 11,701 | D | ||||||||
| Dividend Equivalent Rights | (7) | 01/05/2021 | A | 114.0095 | (8) | (8) | Common Shares | 114.0095 | $0.00 | 1,434.2089 | D | ||||
| Option (right to buy) | $56.92 | 05/05/2022 | 05/04/2027 | Common Shares | 50,000 | 50,000 | D | ||||||||
| Restricted Share Units | (5) | (9) | (9) | Common Shares | 9,748 | 9,748 | D | ||||||||
| Dividend Equivalent Rights | (7) | 01/05/2021 | A | 93.778 | (10) | (10) | Common Shares | 93.778 | $0.00 | 1,056.3041 | D | ||||
| Restricted Share Units | (5) | (11) | (11) | Common Shares | 8,552 | 8,552 | D | ||||||||
| Dividend Equivalent Rights | (7) | 01/05/2021 | A | 79.7225 | (12) | (12) | Common Shares | 79.7225 | $0.00 | 632.954 | D | ||||
| Performance Share Units | (13) | 02/22/2024 | 02/22/2024 | Common Shares | 50,000 | 50,000 | D | ||||||||
| Dividend Equivalent Rights | (14) | 01/05/2021 | A | 466.1045 | (15) | (15) | Common Shares | 466.1045 | $0.00 | 3,700.6197 | D | ||||
| Option (right to buy) | $66.31 | 02/21/2025 | 02/20/2030 | Common Shares | 25,000 | 25,000 | D | ||||||||
| Restricted Share Units | (5) | (16) | (16) | Common Shares | 7,471 | 7,471 | D | ||||||||
| Dividend Equivalent Rights | (7) | 01/05/2021 | A | 67.6192 | (17) | (17) | Common Shares | 67.6192 | $0.00 | 319.5073 | D | ||||
| Performance Share Units | (18) | 02/21/2025 | 02/21/2025 | Common Shares | 25,000 | 25,000 | D | ||||||||
| Dividend Equivalent Rights | (14) | 01/05/2021 | A | 226.2721 | (19) | (19) | Common Shares | 226.2721 | $0.00 | 1,069.1583 | D | ||||
| Explanation of Responses: |
| 1. Represents shares settled from dividend equivalent rights that accrued on a vested restricted share unit award in respect of dividends that were paid after the vesting of the award with a record date prior to the vesting of the award. |
| 2. Represents shares sold to cover withholding tax obligations on the settlement of the previously reported vesting of the Reporting Person's restricted share units. |
| 3. Each Restaurant Brands International Limited Partnership exchangeable unit is convertible, at the Reporting Person's election, into common shares of Restaurant Brands International Inc. or a cash amount equal to a prescribed cash amount determined by reference to the weighted average trading price of Restaurant Brands International Inc.'s common shares on the New York Stock Exchange for the 20 consecutive trading days ending on the last business day prior to the exchange date, at the sole discretion of the general partner of Restaurant Brands International Limited Partnership (subject to the consent of the Restaurant Brands International Inc. conflicts committee, in certain circumstances). This conversion right has no expiration date. |
| 4. These options are immediately exercisable. |
| 5. Each restricted share unit represents a contingent right to receive one common share. |
| 6. These restricted share units vest on December 31, 2021. |
| 7. Each whole dividend equivalent right represents a contingent right to receive one common share. |
| 8. These dividend equivalent rights accrued on the 2017 restricted share unit award (the "2017 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2017 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2017 RSUs to which they relate. |
| 9. These restricted share units vest on December 31, 2022. |
| 10. These dividend equivalent rights accrued on the 2018 restricted share unit award (the "2018 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2018 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2018 RSUs to which they relate. |
| 11. These restricted share units vest on December 31, 2023. |
| 12. These dividend equivalent rights accrued on the 2019 restricted share unit award (the "2019 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2019 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2019 RSUs to which they relate. |
| 13. The shares reported represent an award of performance based restricted share units ("2019 PBRSUs") granted to the Reporting Person. The 2019 PBRSUs will have a performance period ending December 31, 2021 and to the extent earned will vest 100% on February 22, 2024, which is the fifth anniversary of the grant date. 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 Issuer performance condition. |
| 14. Each whole dividend equivalent right represents a contingent right to receive one common share, subject to increase or decrease based on the results of the Issuer performance condition. |
| 15. These dividend equivalent rights accrued on the 2019 PBRSUs. Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2019 PBRSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2019 PBRSUs to which they relate. |
| 16. These restricted share units vest on December 31, 2024. |
| 17. These dividend equivalent rights accrued on the 2020 restricted share unit award (the "2020 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2020 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2020 RSUs to which they relate. |
| 18. The shares reported represent an award of performance based restricted share units ("2020 PBRSUs") granted to the Reporting Person. The 2020 PBRSUs will have a performance period ending December 31, 2021 and to the extent earned will vest 100% on February 21, 2025, which is the fifth anniversary of the grant date. 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. |
| 19. These dividend equivalent rights accrued on the 2020 PBRSUs. Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2020 PBRSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2020 PBRSUs to which they relate. |
| Remarks: |
| Senior EVP, General Counsel and Secretary |
| /s/ Michele Keusch, as Attorney-in-Fact for Jill Granat | 01/07/2021 | |
| ** 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. | ||