0001209191-19-000409.txt : 20190102
0001209191-19-000409.hdr.sgml : 20190102
20190102175933
ACCESSION NUMBER: 0001209191-19-000409
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181229
FILED AS OF DATE: 20190102
DATE AS OF CHANGE: 20190102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosrowshahi Golnar
CENTRAL INDEX KEY: 0001743515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36786
FILM NUMBER: 19502956
MAIL ADDRESS:
STREET 1: C/O RESTAURANT BRANDS INTERATIONAL INC.
STREET 2: 5505 BLUE LAGOON DRIVE
CITY: MIAMI
STATE: FL
ZIP: 33126
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Restaurant Brands International Inc.
CENTRAL INDEX KEY: 0001618756
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812]
IRS NUMBER: 000000000
STATE OF INCORPORATION: Z4
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 130 KING STREET WEST
STREET 2: SUITE 300
CITY: TORONTO
STATE: A6
ZIP: M5X 1E1
BUSINESS PHONE: (905) 845-6511
MAIL ADDRESS:
STREET 1: 130 KING STREET WEST
STREET 2: SUITE 300
CITY: TORONTO
STATE: A6
ZIP: M5X 1E1
FORMER COMPANY:
FORMER CONFORMED NAME: 9060669 Canada Inc.
DATE OF NAME CHANGE: 20141028
FORMER COMPANY:
FORMER CONFORMED NAME: 1011773 B.C. Unlimited Liability Co
DATE OF NAME CHANGE: 20140905
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-12-29
0
0001618756
Restaurant Brands International Inc.
QSR
0001743515
Khosrowshahi Golnar
130 KING STREET WEST
SUITE 300
TORONTO
A6
M5X 1E1
ONTARIO, CANADA
1
0
0
0
Common Shares
2018-12-29
4
A
0
1069
0.00
A
6739
D
Option (right to buy)
59.79
2023-06-15
2028-06-14
Common Shares
16622
16622
D
Represents restricted stock units that are earned and vested upon grant and that settle upon termination of board service.
The options were issued with an exercise price of CAD $78.79. The reported exercise price represents the U.S. dollar equivalent at the time of issuance.
/s/ Lisa Giles-Klein, as attorney-in-fact for Golnar Khosrowshahi
2019-01-02