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