FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 |
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| 1. Name and Address of Reporting Person * Cil Jose E. | 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) Chief Executive Officer |
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3. Date of Earliest Transaction
(MM/DD/YYYY)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 | ||||||||||
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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 | 203386.243 | D | ||||||||
| Common Shares | 46500 | I | By Trust (1) | |||||||
| Common Shares | 45620 | I | By Trust (2) | |||||||
| Common Shares | 140300 | I | By Trust (3) | |||||||
| Common Shares | 13750 | I | By Trust (4) | |||||||
| Common Shares | 189750 | I | By Trust (5) | |||||||
| Common Shares | 49080 | I | By GRAT (6) | |||||||
| Common Shares | 40120 | I | By GRAT (7) | |||||||
| Common Shares | 45620 | I | By GRAT (8) | |||||||
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 | ||||||||
| Exchangeable units (9) | (9) | (9) | (9) | Common Shares | 105758 | 105758 | D | ||||||||
| Option (right to buy) | $42.26 | (10) | 3/5/2025 | Common Shares | 35967 | 35967 | D | ||||||||
| Option (right to buy) | $42.26 | (10) | 3/5/2025 | Common Shares | 166667 | 166667 | D | ||||||||
| Option (right to buy) | $33.67 | (10) | 2/25/2026 | Common Shares | 118237 | 118237 | D | ||||||||
| Restricted Share Units | (11) | (12) | (12) | Common Shares | 18388.6013 | 18388.6013 | D | ||||||||
| Performance Share Units | (13) | 2/23/2023 | 2/23/2023 | Common Shares | 257053.0379 | 257053.0379 | D | ||||||||
| Restricted Share Units | (11) | (14) | (14) | Common Shares | 16102.3278 | 16102.3278 | D | ||||||||
| Performance Share Units | (15) | 2/22/2024 | 2/22/2024 | Common Shares | 308301.8976 | 308301.8976 | D | ||||||||
| Restricted Share Units | (11) | (16) | (16) | Common Shares | 18700.119 | 18700.119 | D | ||||||||
| Performance Share Units | (17) | 2/21/2025 | 2/21/2025 | Common Shares | 272120.4747 | 272120.4747 | D | ||||||||
| Restricted Share Units | (11) | (18) | (18) | Common Shares | 34446.7419 | 34446.7419 | D | ||||||||
| Restricted Share Units | (11) | (19) | (19) | Common Shares | 21814.1822 | 21814.1822 | D | ||||||||
| Performance Share Units | (20) | 2/19/2024 | 2/19/2024 | Common Shares | 104905.9867 | 104905.9867 | D | ||||||||
| Restricted Share Units | (11) | (21) | (21) | Common Shares | 45821.3304 | 45821.3304 | D | ||||||||
| Performance Share Units | (22) | 4/20/2022 | A | 149452 | 2/25/2025 | 2/25/2025 | Common Shares | 149452 | $0.00 | 149452 | D | ||||
| Reporting Owners | |||||
| Reporting Owner Name / Address | |||||
| Director | 10% Owner | Officer | Other | ||
| Cil Jose E. 130 KING STREET WEST SUITE 300 TORONTO, A6 M5X 1E1 | Chief Executive Officer | ||||
| Signatures | ||
| /s/ Michele Keusch, as Attorney-in-Fact for Jose Cil | 4/22/2022 | |
| **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. | |