SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Granat Jill

(Last) (First) (Middle)
130 KING STREET WEST
SUITE 300

(Street)
TORONTO A6 M5X 1E1

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Restaurant Brands International Inc. [ QSR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
12/31/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 12/31/2022 M 11,506.6636 A (1) 336,234.5772 D
Common Shares 12/31/2022 M 3,514.5244 A (1) 339,749.1016 D
Common Shares 12/31/2022 M 2,793.5144 A (1) 342,542.616 D
Common Shares 12/31/2022 M 4,399.7184 A (1) 346,942.3344 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Exchangeable units(2) (2) (2) (2) Common Shares 52,965 52,965 D
Option (right to buy) $27.28 (3) 03/06/2024 Common Shares 15,945 15,945 D
Option (right to buy) $27.28 (3) 03/06/2024 Common Shares 40,000 40,000 D
Option (right to buy) $42.26 (3) 03/05/2025 Common Shares 13,665 13,665 D
Option (right to buy) $42.26 (3) 03/05/2025 Common Shares 66,667 66,667 D
Option (right to buy) $33.67 (3) 02/25/2026 Common Shares 70,000 70,000 D
Option (right to buy) $56.92 (3) 05/04/2027 Common Shares 50,000 50,000 D
Restricted Share Units (4) 12/31/2022 M 11,506.6636 (5) (5) Common Shares 11,506.6636 $0.00 0 D
Restricted Share Units (4) (6) (6) Common Shares 9,782.0439 9,782.0439 D
Performance Share Units (7) 02/22/2024 02/22/2024 Common Shares 57,191.5567 57,191.5567 D
Option (right to buy) $66.31 02/21/2025 02/20/2030 Common Shares 25,000 25,000 D
Restricted Share Units (4) (8) (8) Common Shares 8,296.9478 8,296.9478 D
Performance Share Units (9) 02/21/2025 02/21/2025 Common Shares 27,763.8461 27,763.8461 D
Restricted Share Units (4) 10/05/2022 M 3,514.5244 (10) (10) Common Shares 3,514.5244 $0.00 3,514.5244 D
Restricted Share Units (4) 10/05/2022 M 2,793.5144 (11) (11) Common Shares 2,793.5144 $0.00 5,585.9637 D
Performance Share Units (12) 02/19/2024 02/19/2024 Common Shares 21,406.6485 21,406.6485 D
Restricted Share Units (4) 10/05/2022 M 4,399.7184 (13) (13) Common Shares 4,399.7184 $0.00 13,198.1256 D
Performance Share Units (14) 02/25/2025 02/25/2025 Common Shares 35,579.1252 35,579.1252 D
Explanation of Responses:
1. Represents the vesting of the Reporting Person's restricted share units, which will settle shortly thereafter. Any shares that are withheld or sold to satisfy tax obligations will be reported separately in connection with the settlement.
2. 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.
3. These options are immediately exercisable.
4. Each restricted share unit represents a contingent right to receive one common share.
5. These restricted share units vest on December 31, 2022.
6. These restricted share units vest on December 31, 2023.
7. The shares reported represent an award of performance based restricted share units ("2019 PBRSUs") granted to the Reporting Person. The 2019 PBRSUs have a performance period ending December 31, 2021 and will vest on February 21, 2024, which is the fifth anniversary of the grant date.
8. These restricted share units vest on December 31, 2024.
9. The shares reported represent an award of performance based restricted share units ("2020 PBRSUs") granted to the Reporting Person. The 2020 PBRSUs have a performance period ending December 31, 2021 and will vest on February 21, 2025, which is the fifth anniversary of the grant date.
10. These restricted share units vest in equal installments on December 31, 2021, December 31, 2022 and December 31, 2023.
11. These restricted share units vest in equal installments on December 31, 2021, December 31, 2022, December 31, 2023 and December 31, 2024.
12. The shares reported represent an award of performance based restricted share units ("2021 PBRSUs") granted to the Reporting Person. The 2021 PBRSUs will have a performance period beginning January 1, 2021 and ending December 31, 2023 and to the extent earned will vest on February 19, 2024. The number of common shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition.
13. The restricted share units vest in equal installments on December 31, 2022, December 31, 2023, December 31, 2024 and December 31, 2025.
14. The shares reported represent an award of performance based restricted share units ("2022 PBRSUs") granted to the Reporting Person. The 2022 PBRSUs will have a performance period beginning January 1, 2022 and ending December 31, 2024 and to the extent earned will vest on February 25, 2025. The number of common shares that will be earned at the end of the performance period is subject to increase or decrease based on the results of the performance condition.
Remarks:
Senior EVP, General Counsel and Secretary
/s/ Michele Keusch, as Attorney-in-Fact for Jill Granat 01/04/2023
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.