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