Sec Form 4 Filing - Siddiqui Sami A. @ Restaurant Brands International Inc. - 2021-05-04

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
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
(Last) (First) (Middle)
5707 BLUE LAGOON DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
05/04/2021
(Street)
MIAMI, FL33126
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 05/04/2021 S 8,882 D $ 70 175,722.4374 D
Common Shares 05/05/2021 S 7,653 D $ 70 168,069.4374 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
Option (Right to Buy) $ 55.55 02/24/2022 02/23/2027 Common Shares 80,000 80,000 D
Option (Right to Buy) $ 66.31 02/21/2025 02/20/2030 Common Shares 20,000 20,000 D
Restricted Share Units ( 1 ) ( 2 ) ( 2 ) Common Shares 8,794.1117 8,794.1117 D
Restricted Share Units ( 1 ) ( 3 ) ( 3 ) Common Shares 6,199.5719 6,199.5719 D
Restricted Share Units ( 1 ) ( 4 ) ( 4 ) Common Shares 7,529.7926 7,529.7926 D
Performance Share Units ( 5 ) 02/22/2024 02/22/2024 Common Shares 54,135.2765 54,135.2765 D
Performance Share Units ( 6 ) 02/21/2025 02/21/2025 Common Shares 21,024.1312 21,024.1312 D
Performance Share Units ( 7 ) 02/21/2025 02/21/2025 Common Shares 20,338.4125 20,338.4125 D
Restricted Share Units ( 1 ) ( 8 ) ( 8 ) Common Shares 13,306.8418 13,306.8418 D
Restricted Share Units ( 1 ) ( 9 ) ( 9 ) Common Shares 10,356.1504 10,356.1504 D
Performance Share Units ( 10 ) 02/19/2024 02/19/2024 Common Shares 27,016.9212 27,016.9212 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Siddiqui Sami A.
5707 BLUE LAGOON DRIVE
MIAMI, FL33126
Brand Pres., Popeyes, Americas
Signatures
/s/ Michele Keusch, as Attorney-in-Fact for Sami A. Siddiqui 05/06/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each restricted share unit represents a contingent right to receive one common share.
( 2 )These restricted share units vest on December 31, 2021.
( 3 )These restricted share units vest on December 31, 2023.
( 4 )These restricted share units vest on December 31, 2024.
( 5 )The shares reported represent an award of performance based restricted share units ("2019 PBRSUs") granted to the Reporting Person. The 2019 PBRSUs will have a performance period ending December 31, 2021 and to the extent earned will vest on February 21, 2024, which is the fifth anniversary of the grant date. The number of common shares that will be earned at the end of the performance period is subject to decrease based on the results of the performance condition.
( 6 )The shares reported represent an award of performance based restricted share units (the "2020-1 PBRSUs") granted to the Reporting Person. The 2020-1 PBRSUs will have a performance period ending December 31, 2021 and to the extent earned will vest on February 21, 2025, which is the fifth anniversary of the grant date. The number of common shares that will be earned at the end of the performance period is subject to decrease based on the results of the performance condition.
( 7 )The shares reported represent an award of performance based restricted share units ("2020-2 PBRSUs") granted to the Reporting Person. The 2020-2 PBRSUs will have a performance period ending December 31, 2021 and to the extent earned will vest on February 21, 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.
( 8 )These restricted share units vest in equal installments on December 31, 2021, December 31, 2022 and December 2023.
( 9 )These restricted share units vest in equal installments on December 31, 2021, December 31, 2022, December 31, 2023 and December 31, 2024.
( 10 )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.

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