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). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Fidelity National Information Services, Inc. [ FIS ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 03/29/2019 | ||||||||||||||||||||||||||
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 Stock | 03/29/2019 | F | 305(1) | D | $113.1 | 6,073.0929 | D | |||
Common Stock | 03/29/2019 | A | 2,285(2) | A | $0 | 6,378.0929 | D | |||
Common Stock | 03/29/2019 | F | 557(3) | D | $113.1 | 5,516.0929 | D | |||
Common Stock | 03/29/2019 | F | 210(4) | D | $113.1 | 5,306.0929 | D |
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 | ||||||||
Restricted Stock Units | $0(5) | 03/29/2019 | A | 1,592 | (6) | (6) | Common Stock | 1,592 | $0 | 1,592 | D | ||||
Stock Option (Right to Buy) | $80.03 | 03/29/2019 | A | 7,855(7) | 03/29/2019 | 03/29/2024 | Common Stock | 7,855 | $80.03 | 12,510 | D | ||||
Stock Option (Right to Buy) | $113.1 | 03/29/2019 | A | 11,725 | (8) | 03/29/2026 | Common Stock | 11,725 | $0 | 11,725 | D |
Explanation of Responses: |
1. Represents shares to satisfy withholding tax obligation for Restricted Stock vesting. |
2. On March 29, 2018, the reporting person was granted performance restricted stock units ("PSUs") that vest in three equal installments contingent on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2018, 2019 and 2020. The PSUs vest between 0% and 150% of the target grant amount in each year. The Compensation Committee of FIS determined that the maximum performance criteria for 2018 had been met, resulting in an award of 150% of the target grant amount. |
3. Represents shares to satisfy withholding tax obligation for PSU vesting. |
4. Represents shares to satisfy withholding tax obligation for Restricted Stock Unit vesting. |
5. Each restricted stock unit represents a contingent right to receive one share of FIS common stock. |
6. The restricted stock units vest and distribute in three equal annual installments commencing on the first anniversary date of the grant. |
7. On March 29, 2017, the reporting person was granted an option to purchase 23,566 shares of common stock. The option vests in three equal installments based on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2017, 2018 and 2019. Based on FIS's Annual Report on Form 10-K, the Compensation Committee of FIS determined that the performance criteria for 2018 had been met, resulting in vesting of the option as to 7,855 shares. |
8. The option vests in three equal annual installments commencing on the first anniversary date of the grant. |
/s/ Marc M. Mayo, attorney-in-fact | 04/02/2019 | |
** 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. |