FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
| | |
| 1. Name and Address of Reporting Person * Dunnigan Matthew | 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) CFO |
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
| ||
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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 | 56449.1545 | D | ||||||||
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
| 1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 | ||||||||
| Option (right to buy) | $42.26 | (1) | 3/5/2025 | Common Shares | 30000 | 30000 | D | ||||||||
| Option (right to buy) | $55.55 | (1) | 2/23/2027 | Common Shares | 40000 | 40000 | D | ||||||||
| Option (right to buy) | $56.92 | 5/5/2022 | 5/4/2027 | Common Shares | 40000 | 40000 | D | ||||||||
| Option (right to buy) | $58.44 | 2/23/2023 | 2/22/2028 | Common Shares | 100000 | 100000 | D | ||||||||
| Restricted Share Units | (2) | 7/6/2022 | A | 23.5234 (3) | (4) | (4) | Common Shares | 23.5234 | $0.00 | 2276.1097 | D | ||||
| Restricted Share Units | (2) | 7/6/2022 | A | 76.0985 (3) | (5) | (5) | Common Shares | 76.0985 | $0.00 | 7363.2343 | D | ||||
| Performance Share Units | (6) | 7/6/2022 | A | 1170.7461 (7) | 2/22/2024 | 2/22/2024 | Common Shares | 1170.7461 | $0.00 | 113280.5271 | D | ||||
| Option (right to buy) | $66.31 | 2/21/2025 | 2/20/2030 | Common Shares | 50000 | 50000 | D | ||||||||
| Restricted Share Units | (2) | 7/6/2022 | A | 83.9442 (3) | (8) | (8) | Common Shares | 83.9442 | $0.00 | 8122.3831 | D | ||||
| Performance Share Units | (9) | 7/6/2022 | A | 568.3429 (7) | 2/21/2025 | 2/21/2025 | Common Shares | 568.3429 | $0.00 | 54992.4378 | D | ||||
| Restricted Share Units | (2) | 7/6/2022 | A | 119.9074 (3) | (10) | (10) | Common Shares | 119.9074 | $0.00 | 11602.1547 | D | ||||
| Restricted Share Units | (2) | 7/6/2022 | A | 81.4717 (3) | (11) | (11) | Common Shares | 81.4717 | $0.00 | 7883.1368 | D | ||||
| Performance Share Units | (12) | 7/6/2022 | A | 365.1726 (7) | 2/19/2024 | 2/19/2024 | Common Shares | 365.1726 | $0.00 | 35333.8349 | D | ||||
| Restricted Share Units | (2) | 7/6/2022 | A | 166.6823 (3) | (13) | (13) | Common Shares | 166.6823 | $0.00 | 16128.0549 | D | ||||
| Performance Share Unit | (14) | 7/6/2022 | A | 520.2317 (7) | 2/25/2022 | 2/25/2022 | Common Shares | 520.2317 | $0.00 | 50337.2317 | D | ||||
| Reporting Owners | |||||
| Reporting Owner Name / Address | |||||
| Director | 10% Owner | Officer | Other | ||
| Dunnigan Matthew 130 KING STREET WEST SUITE 300 TORONTO, A6 M5X 1E1 | CFO | ||||
| Signatures | ||
| /s/ Michele Keusch, as Attorney-in-Fact for Matthew Dunnigan | 7/8/2022 | |
| **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 control number. | |