0001209191-20-056683.txt : 20201103 0001209191-20-056683.hdr.sgml : 20201103 20201103170107 ACCESSION NUMBER: 0001209191-20-056683 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201103 DATE AS OF CHANGE: 20201103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Melbourne Jason CENTRAL INDEX KEY: 0001825982 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36786 FILM NUMBER: 201284256 MAIL ADDRESS: STREET 1: C/O RESTAURANT BRANDS INTERNATIONAL INC. STREET 2: 5707 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 2020-10-30 0 0001618756 Restaurant Brands International Inc. QSR 0001825982 Melbourne Jason 5707 BLUE LAGOON DRIVE MIAMI FL 33126 1 0 0 0 Option (right to buy) 53.02 2020-10-30 4 A 0 18860 0.00 A 2025-10-30 2030-10-29 Common Shares 18860 18860 D The options were granted with an exercise price of CAD $70.64. The reported exercise price represents the U.S. dollar equivalent at the time of grant following conversion using the Bank of Canada daily exchange rate on the grant date of 1.3325. /s/ Michele Keusch, As Attorney-in-Fact for Jason Melbourne 2020-11-03