0001209191-23-001137.txt : 20230104 0001209191-23-001137.hdr.sgml : 20230104 20230104171617 ACCESSION NUMBER: 0001209191-23-001137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221230 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 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: 23507925 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 2022-12-30 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 2022-12-30 4 A 0 1846 0.00 A 15158 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/ Michele Keusch, as attorney-in-fact for Golnar Khosrowshahi 2023-01-04