0001209191-15-078021.txt : 20151103
0001209191-15-078021.hdr.sgml : 20151103
20151103154655
ACCESSION NUMBER: 0001209191-15-078021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151102
FILED AS OF DATE: 20151103
DATE AS OF CHANGE: 20151103
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Restaurant Brands International Inc.
CENTRAL INDEX KEY: 0001618756
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 000000000
STATE OF INCORPORATION: A1
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 874 SINCLAIR ROAD
CITY: OAKVILLE
STATE: A6
ZIP: L6K 2Y1
BUSINESS PHONE: (905) 845-6511
MAIL ADDRESS:
STREET 1: 874 SINCLAIR ROAD
CITY: OAKVILLE
STATE: A6
ZIP: L6K 2Y1
FORMER COMPANY:
FORMER CONFORMED NAME: 9060669 Canada Inc.
DATE OF NAME CHANGE: 20141028
FORMER COMPANY:
FORMER CONFORMED NAME: 1011773 B.C. Unlimited Liability Co
DATE OF NAME CHANGE: 20140905
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lederer John Anthony
CENTRAL INDEX KEY: 0001388540
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36786
FILM NUMBER: 151193613
MAIL ADDRESS:
STREET 1: 1601 - 1410 1ST STREET SOUTH EAST
CITY: CALGARY
STATE: A0
ZIP: T2G 5T1
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-11-02
0
0001618756
Restaurant Brands International Inc.
QSR
0001388540
Lederer John Anthony
226 WYECROFT ROAD
OAKVILLE
A6
L6K 3X7
ONTARIO, CANADA
1
0
0
0
Common Stock
2015-11-02
4
P
0
20000
39.28
A
52400
D
Option (right to buy)
41.90
2020-03-06
2025-03-06
Common Stock
11831
11831
D
Represents the weighted average price of the shares sold and is reported in U.S. dollars. The reported shares were purchased in Canadian dollars at prices ranging from CAD$51.18 to CAD$51.50 per share, inclusive. The purchase prices were converted into their U.S. dollar equivalents ranging from USD$39.09 to USD$39.33 per share using the Bank of Canada noon exchange rate on November 2, 2015 of 0.7637. The reporting person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price.
The options were issued with an exercise price of CAD$52.86. The reported exercise price represents the U.S. dollar equivalent following conversion using the Bank of Canada noon exchange rate on March 6, 2015 of 0.7926.
/s/ Lisa Giles-Klein as attorney-in-fact for John A. Lederer
2015-11-03