0001209191-18-016712.txt : 20180305 0001209191-18-016712.hdr.sgml : 20180305 20180305174146 ACCESSION NUMBER: 0001209191-18-016712 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180301 FILED AS OF DATE: 20180305 DATE AS OF CHANGE: 20180305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goncalves Heitor CENTRAL INDEX KEY: 0001574954 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36786 FILM NUMBER: 18667665 MAIL ADDRESS: STREET 1: 5505 BLUE LAGOON DRIVE CITY: MIAMI STATE: FL ZIP: 33126 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: Z4 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 226 WYECROFT ROAD CITY: OAKVILLE STATE: A6 ZIP: L6K 3X7 BUSINESS PHONE: (905) 845-6511 MAIL ADDRESS: STREET 1: 226 WYECROFT ROAD CITY: OAKVILLE STATE: A6 ZIP: L6K 3X7 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-01 0 0001618756 Restaurant Brands International Inc. QSR 0001574954 Goncalves Heitor 226 WYECROFT ROAD OAKVILLE A6 L6K 3X7 ONTARIO, CANADA 0 1 0 0 See Remarks Common Shares 2018-03-01 4 M 0 84130 3.54 A 423558 D Common Shares 2018-03-01 4 S 0 38387 59.26 D 385171 D Exchangeable units Common Shares 107478 107478 D Option (right to buy) 3.54 2018-03-01 4 M 0 84130 0.00 D 2022-02-20 Common Shares 84130 41647 D Option (right to buy) 18.25 2023-02-28 Common Shares 30136 30136 D Option (right to buy) 18.25 2018-03-01 2023-02-28 Common Shares 100000 100000 D Option (right to buy) 27.28 2018-12-31 2024-03-06 Common Shares 41788 41788 D Option (right to buy) 27.28 2019-03-07 2024-03-06 Common Shares 80000 80000 D Option (right to buy) 42.26 2019-12-31 2025-03-05 Common Shares 32418 32418 D Option (right to buy) 42.26 2020-03-06 2025-03-05 Common Shares 100000 100000 D Restricted Share Units Common Shares 29700 29700 D Dividend Equivalent Rights Common Shares 817.5729 817.5729 D Option (right to buy) 33.67 2021-02-26 2026-02-26 Common Shares 150000 150000 D Restricted Share Units Common Shares 14192 14192 D Dividend Equivalent Rights Common Shares 181.9566 181.9566 D Restricted Share Units Common Shares 10266 10266 D Represents the weighted average price of the shares sold. The prices of the shares sold pursuant to the transaction ranged from $59.00 to $59.61 per share. 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. 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. These options are immediately exercisable. Each restricted share unit represents a contingent right to receive one common share. These restricted share units vest on December 31, 2020. Each whole dividend equivalent right represents a contingent right to receive one common share. These dividend equivalent rights accrued on the 2016 restricted share unit award (the "2016 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2016 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2016 RSUs to which they relate. These restricted share units vest on December 31, 2021. 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. These restricted share units vest on December 31, 2022. Senior EVP, Chief Information and Performance Officer and Chief People Officer /s/ Lisa Giles-Klein as attorney-in-fact for Heitor Goncalves 2018-03-05