0001209191-22-001056.txt : 20220104 0001209191-22-001056.hdr.sgml : 20220104 20220104175033 ACCESSION NUMBER: 0001209191-22-001056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CURTIS THOMAS BENJAMIN CENTRAL INDEX KEY: 0001804729 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36786 FILM NUMBER: 22507913 MAIL ADDRESS: STREET 1: 30 FRANK LLOYD WRIGHT DR CITY: ANN ARBOR STATE: MI ZIP: 48105 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 2021-12-31 0 0001618756 Restaurant Brands International Inc. QSR 0001804729 CURTIS THOMAS BENJAMIN 5707 BLUE LAGOON DRIVE MIAMI FL 33126 0 1 0 0 See Remarks Common Shares 2021-12-31 4 M 0 3813.2082 A 3813.2082 D Restricted Share Units 2021-12-31 4 M 0 3813.2082 0.00 D Common Shares 3813.2082 11439.6244 D Performance Share Units 2024-09-01 2024-09-01 Common Shares 15128.3293 15128.3293 D Restricted Share Units Common Shares 15000 15000 D Performance Share Units 2024-12-15 2024-12-15 Common Shares 15000 15000 D Represents the vesting of the Reporting Person's restricted stock units, which will settle shortly thereafter. Any shares that are withheld or sold to satisfy tax obligations will be reported separately in connection with the settlement. Each restricted share unit represents a contingent right to receive one common share. These restricted share units vest in equal installments on December 31, 2021, December 31, 2022, December 31, 2023 and December 31, 2024. The shares reported represent an award of performance based restricted share units ("2021-1 PBRSUs") granted to the Reporting Person. The 2021-1 PBRSUs will have a performance period beginning January 1, 2021 and ending December 31, 2023 and to the extent earned will vest on September 1, 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. These restricted share units vest in equal installments on December 15, 2022, December 15, 2023 and December 15, 2024. The shares reported represent an award of performance based restricted share units ("2021-2 PBRSUs") granted to the Reporting Person. The 2021-2 PBRSUs will have a performance period beginning January 1, 2021 and ending December 31, 2023 and to the extent earned will vest on December 15, 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. President, Burger King US & Canada /s/ Michele Keusch, as Attorney-in-Fact for Thomas B. Curtis IV 2022-01-04