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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Options (right to buy) | $ 9.49 | 08/29/2017 | M | 53,386 | (3) | 01/30/2018 | Class B Common Stock (4) | 53,386 | $ 0 | 0 | D | ||||
Stock Options (right to buy) | $ 9.49 | 08/29/2017 | M | 28,472 | (3) | 03/11/2018 | Class B Common Stock (4) | 28,472 | $ 0 | 0 | D | ||||
Class B Common Stock | (4) | 08/29/2017 | M | 53,386 | (4) | (4) | Class A Common Stock | 53,386 | $ 9.49 | 230,072 | D | ||||
Class B Common Stock | (4) | 08/29/2017 | M | 28,472 | (4) | (4) | Class A Common Stock | 28,472 | $ 9.49 | 258,544 | D | ||||
Class B Common Stock | (4) | 08/29/2017 | C | 81,858 | (4) | (4) | Class A Common Stock | 81,858 | $ 0 | 176,686 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
McCarthy Barry C C/O FIRST DATA CORPORATION 225 LIBERTY STREET, 29TH FLOOR NEW YORK, NY 10281 |
See remarks |
/s/ Gretchen A. Herron, by power of attorney | 08/31/2017 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock. |
(2) | The price represents the weighted average purchase price for multiple transactions reported on this line. The prices of the transactions ranged from $18.13 to $18.23, inclusive. Upon request of the SEC staff, First Data Corporation (FDC), or a security holder of FDC, the reporting person will provide full information regarding the number of shares purchased at each separate price. |
(3) | These stock options are fully vested and exercisable. |
(4) | Shares of Class B common stock are convertible into shares of Class A common stock on a one-for-one basis at any time at the option of the holder with the prior written consent of the issuer, automatically upon transfer, with certain exceptions, and upon certain other events. |
Remarks: Executive Vice President, Head of Network & Security Solutions |