Sec Form 4 Filing - Granat Jill @ Restaurant Brands International Inc. - 2018-10-01

Insider filing report for Changes in Beneficial Ownership
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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
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Granat Jill
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
(Last) (First) (Middle)
226 WYECROFT ROAD
3. Date of Earliest Transaction (MM/DD/YY)
10/01/2018
(Street)
OAKVILLE, A6L6K 3X7
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 261,564 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 ( 1 ) ( 1 ) ( 1 ) ( 1 ) Common Shares 52,965 52,965 D
Option (right to buy) $ 18.25 ( 2 ) 02/28/2023 Common Shares 12,328 12,328 D
Option (right to buy) $ 18.25 ( 2 ) 02/28/2023 Common Shares 50,000 50,000 D
Option (right to buy) $ 27.28 12/31/2018 03/06/2024 Common Shares 15,945 15,945 D
Option (right to buy) $ 27.28 03/07/2019 03/06/2024 Common Shares 40,000 40,000 D
Option (right to buy) $ 42.26 12/31/2019 03/05/2025 Common Shares 13,665 13,665 D
Option (right to buy) $ 42.26 03/06/2020 03/05/2025 Common Shares 66,667 66,667 D
Restricted Share Units ( 3 ) ( 4 ) ( 4 ) Common Shares 17,820 17,820 D
Dividend Equivalent Rights ( 5 ) 10/01/2018 A 141.1433 ( 6 ) ( 6 ) Common Shares 141.1433 $ 0 914.425 D
Option (right to buy) $ 33.67 02/26/2021 02/25/2026 Common Shares 70,000 70,000 D
Restricted Share Units ( 3 ) ( 7 ) ( 7 ) Common Shares 11,701 11,701 D
Dividend Equivalent Rights ( 5 ) 10/01/2018 A 91.3513 ( 8 ) ( 8 ) Common Shares 91.3513 $ 0 424.3653 D
Option (right to buy) $ 56.92 05/05/2022 05/04/2027 Common Shares 50,000 50,000 D
Restricted Share Units ( 3 ) ( 9 ) ( 9 ) Common Shares 9,748 9,748 D
Dividend Equivalent Rights ( 5 ) 10/01/2018 A 75.1406 ( 10 ) ( 10 ) Common Shares 75.1406 $ 0 225.6621 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Granat Jill
226 WYECROFT ROAD
OAKVILLE, A6L6K 3X7
See Remarks
Signatures
/s/ Lisa Giles-Klein, as Attorney-in-Fact for Jill Granat 10/03/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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.
( 2 )These options are immediately exercisable.
( 3 )Each restricted share unit represents a contingent right to receive one common share.
( 4 )These restricted share units vest on December 31, 2020.
( 5 )Each whole dividend equivalent right represents a contingent right to receive one common share.
( 6 )These dividend equivalent rights accrued on the 2016 restricted share unit award (the "2016 RSUs"). Dividend equivalent rights accrue when andas dividends are paid on the common shares underlying the 2016 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2016 RSUs to which they relate.
( 7 )These restricted share units vest on December 31, 2021.
( 8 )These dividend equivalent rights accrued on the 2017 restricted share unit award (the "2017 RSUs"). Dividend equivalent rights accrue when andas dividends are paid on the common shares underlying the 2017 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2017 RSUs to which they relate.
( 9 )These restricted share units vest on December 31, 2022.
( 10 )These dividend equivalent rights accrued on the 2018 restricted share unit award (the "2018 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2018 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2018 RSUs to which they relate.

Remarks:
Senior EVP, General Counsel and Secretary

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