0000899243-18-030156.txt : 20181204 0000899243-18-030156.hdr.sgml : 20181204 20181204211916 ACCESSION NUMBER: 0000899243-18-030156 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181130 FILED AS OF DATE: 20181204 DATE AS OF CHANGE: 20181204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Restaurant Brands International Limited Partnership CENTRAL INDEX KEY: 0001618755 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33174 FILM NUMBER: 181218533 BUSINESS ADDRESS: STREET 1: 130 KING STREET WEST STREET 2: SUITE 300 CITY: TORONTO STATE: A6 ZIP: M5X 1E1 BUSINESS PHONE: (905) 845-6511 MAIL ADDRESS: STREET 1: 130 KING STREET WEST STREET 2: SUITE 300 CITY: TORONTO STATE: A6 ZIP: M5X 1E1 FORMER NAME: FORMER CONFORMED NAME: New Red Canada Limited Partnership DATE OF NAME CHANGE: 20141031 FORMER NAME: FORMER CONFORMED NAME: New Red Canada Partnership DATE OF NAME CHANGE: 20140905 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Restaurant Brands International Inc. CENTRAL INDEX KEY: 0001618756 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] STATE OF INCORPORATION: Z4 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33174 FILM NUMBER: 181218534 BUSINESS ADDRESS: STREET 1: 130 KING STREET WEST STREET 2: SUITE 300 CITY: TORONTO STATE: A6 ZIP: M5X 1E1 BUSINESS PHONE: (905) 845-6511 MAIL ADDRESS: STREET 1: 130 KING STREET WEST STREET 2: SUITE 300 CITY: TORONTO STATE: A6 ZIP: M5X 1E1 FORMER NAME: FORMER CONFORMED NAME: 9060669 Canada Inc. DATE OF NAME CHANGE: 20141028 FORMER NAME: FORMER CONFORMED NAME: 1011773 B.C. Unlimited Liability Co DATE OF NAME CHANGE: 20140905 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CARROLS RESTAURANT GROUP, INC. CENTRAL INDEX KEY: 0000809248 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 161287774 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 968 JAMES STREET CITY: SYRACUSE STATE: NY ZIP: 13203 BUSINESS PHONE: 315-424-0513 MAIL ADDRESS: STREET 1: 968 JAMES STREET CITY: SYRACUSE STATE: NY ZIP: 13203 FORMER COMPANY: FORMER CONFORMED NAME: CARROLS HOLDINGS CORP DATE OF NAME CHANGE: 19870113 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-11-30 0 0000809248 CARROLS RESTAURANT GROUP, INC. TAST 0001618755 Restaurant Brands International Limited Partnership 130 KING STREET WEST, SUITE 300 P.O. BOX 339 TORONTO ONTARIO Z4 M5X 1E1 CANADA (FEDERAL LEVEL) 1 0 1 0 0001618756 Restaurant Brands International Inc. 130 KING STREET WEST, SUITE 300 P.O. BOX 339 TORONTO ONTARIO Z4 M5X 1E1 CANADA (FEDERAL LEVEL) 1 0 1 0 Convertible Preferred Stock Common Stock 8755559 I See Footnote Represents 93 shares of Convertible Preferred Stock, each convertible into 94,145.80 shares of Common Stock, par value $0.01 per share of the Issuer. The shares of Convertible Preferred Stock are convertible at any time at the option of the holder and do not have an expiration date. This report is being filed jointly by Restaurant Brands International Limited Partnership ("Partnership") and Restaurant Brands International Inc. ("RBI"). The reported securities are owned directly by an indirect subsidiary of Partnership. RBI is the sole general partner of Partnership. Jose E. Cil and Matthew Dunnigan, executive officers of RBI, serve as directors on the Issuer's board of directors. /s/ Jon Domanko, Authorized Officer 2018-12-04 /s/ Jon Domanko, Authorized Officer 2018-12-04