FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/28/2015 |
3. Issuer Name and Ticker or Trading Symbol
Fidelity National Information Services, Inc. [ FIS ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 171,602.8736(1)(2)(3)(4) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | (5) | 10/29/2017 | Common Stock | 145,000 | $27.1 | D | |
Stock Option (Right to Buy) | (6) | 11/07/2018 | Common Stock | 100,000 | $25.66 | D | |
Stock Option (Right to Buy) | (7) | 11/08/2019 | Common Stock | 61,425 | $34.33 | D |
Explanation of Responses: |
1. Includes performance-based restricted stock, which contain an annual performance criteria and vest in three equal installments commencing on the first anniversary of the date of grant November 4, 2014 provided the performance criteria is met each year. |
2. Includes performance-based restricted stock which vest annually in three equal installments commencing on the first anniversary date of grant October 31, 2013 provided the performance criteria is met on December 31, 2014. |
3. Includes performance-based restricted stock granted on November 8, 2012 that vest in three equal annual installments. The first and second installments vested on February 28, 2014 and November 8, 2014, respectively. |
4. Includes shares acquired under the issuer's ESPP plan. |
5. Represents stock options that vested and became exerciseable in three equal annual installments commencing on the first anniversary of the date of grant. The first installment became exerciseable on October 29, 2011. The second installment became exerciseable on October 29, 2012, and the third installment became exerciseable on October 29, 2013. |
6. Represents stock options that vested and became exerciseable in three equal annual installments commencing on the first anniversary of the date of grant. The first installment became exerciseable on November 7, 2012. The second installment became exerciseable on November 7, 2013 and the third installment became exerciseable on November 7, 2014. |
7. Represents stock options that vest and become exerciseable in three equal annual installments commencing on the first anniversary of the date of grant. The first installment became exerciseable on November 8, 2013. The second installment became exerciseable on November 8, 2014, and the third installment becomes exerciseable on November 8, 2015. |
/s/ Marc M. Mayo, attorney-in-fact | 02/04/2015 | |
** 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 5 (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. |