0001209191-17-047657.txt : 20170804 0001209191-17-047657.hdr.sgml : 20170804 20170804141157 ACCESSION NUMBER: 0001209191-17-047657 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170804 FILED AS OF DATE: 20170804 DATE AS OF CHANGE: 20170804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hedayat Ali CENTRAL INDEX KEY: 0001679916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36786 FILM NUMBER: 171008063 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 2017-08-04 0 0001618756 Restaurant Brands International Inc. QSR 0001679916 Hedayat Ali 226 WYECROFT ROAD OAKVILLE A6 L6K 3X7 ONTARIO, CANADA 1 0 0 0 Common Shares 2017-08-04 4 P 0 5000 61.32 A 25966 D Option (right to buy) 46.77 2021-08-09 2026-08-08 Common Shares 21381 21381 D Represents the weighted average price of the shares purchased. The reported shares were purchased in Canadian dollars at prices ranging from USD$61.29 to USD$61.35 per share (based upon the Bloomberg spot exchange rate at noon on August 4, 2017 of 0.7913). 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 purchased at each separate price. The options were issued with an exercise price of CAD$61.65. The reported exercise price represents the U.S. dollar equivalent. /s/ Lisa Giles-Klein, as attorney-in-fact for Ali Hedayat 2017-08-04