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 * Siddiqui Sami A. | 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) Brand Pres., Popeyes, Americas |
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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 | 12/31/2022 | M | 4686.0325 | A | (1) | 13955.0988 | D | |||
| Common Shares | 12/31/2022 | M | 2736.004 | A | (1) | 16691.1028 | D | |||
| Common Shares | 12/31/2022 | M | 2228.1747 | A | (1) | 18919.2775 | D | |||
| Common Shares | 125860 | I | By Trust (2) | |||||||
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) | $55.55 | (3) | 2/23/2027 | Common Shares | 80000 | 80000 | D | ||||||||
| Option (Right to Buy) | $66.31 | 2/21/2025 | 2/20/2030 | Common Shares | 20000 | 20000 | D | ||||||||
| Restricted Share Units | (4) | (5) | (5) | Common Shares | 6549.5771 | 6549.5771 | D | ||||||||
| Restricted Share Units | (4) | (6) | (6) | Common Shares | 7954.8972 | 7954.8972 | D | ||||||||
| Performance Share Units | (7) | 2/22/2024 | 2/22/2024 | Common Shares | 57191.5567 | 57191.5567 | D | ||||||||
| Performance Share Units | (8) | 2/21/2025 | 2/21/2025 | Common Shares | 22211.0769 | 22211.0769 | D | ||||||||
| Performance Share Units | (9) | 2/21/2025 | 2/21/2025 | Common Shares | 21486.6451 | 21486.6451 | D | ||||||||
| Restricted Share Units | (4) | 12/31/2022 | M | 4686.0325 | (10) | (10) | Common Shares | 4686.0325 | $0.00 | 4686.0325 | D | ||||
| Restricted Share Units | (4) | 12/31/2022 | M | 2736.004 | (11) | (11) | Common Shares | 2736.004 | $0.00 | 5469.8779 | D | ||||
| Performance Share Units | (12) | 2/19/2024 | 2/19/2024 | Common Shares | 28542.198 | 28542.198 | D | ||||||||
| Restricted Share Units | (4) | 12/31/2022 | M | 2228.1747 | (13) | (13) | Common Shares | 2228.1747 | $0.00 | 6685.5539 | D | ||||
| Performance Share Units | (14) | 2/25/2025 | 2/25/2025 | Common Shares | 40661.1285 | 40661.1285 | D | ||||||||
| Reporting Owners | |||||
| Reporting Owner Name / Address | |||||
| Director | 10% Owner | Officer | Other | ||
| Siddiqui Sami A. 5707 BLUE LAGOON DRIVE MIAMI, FL 33126 | Brand Pres., Popeyes, Americas | ||||
| Signatures | ||
| /s/ Michele Keusch, as Attorney-in-Fact for Sami A. Siddiqui | 1/4/2023 | |
| **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 control number. | |