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