0000899243-15-006769.txt : 20151015 0000899243-15-006769.hdr.sgml : 20151015 20151015174433 ACCESSION NUMBER: 0000899243-15-006769 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20151015 FILED AS OF DATE: 20151015 DATE AS OF CHANGE: 20151015 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST DATA CORP CENTRAL INDEX KEY: 0000883980 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 470731996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 225 LIBERTY STREET STREET 2: 29TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10281 BUSINESS PHONE: (800) 735-3362 MAIL ADDRESS: STREET 1: 225 LIBERTY STREET STREET 2: 29TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10281 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOREHAND JOE W CENTRAL INDEX KEY: 0001232908 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11073 FILM NUMBER: 151160741 MAIL ADDRESS: STREET 1: C/O ACCENTURE LEGAL & COMMERICAL GROUP STREET 2: 23RD FL 161 N CLARK STREET CITY: CHICAGO STATE: IL ZIP: 60601 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2015-10-15 0 0000883980 FIRST DATA CORP FDC 0001232908 FOREHAND JOE W 18208 PRESTON ROAD, SUITE D9-387 DALLAS TX 75252 1 0 0 0 Class B Common Stock Class A Common Stock 256050 D Stock Options (right to buy) 12.65 2024-07-03 Class B Common Stock 158182 D Stock Options (right to buy) 11.07 2023-03-05 Class B Common Stock 316364 D Stock Options (right to buy) 9.49 2020-12-23 Class B Common Stock 94909 D Stock Options (right to buy) 9.49 2020-05-19 Class B Common Stock 158182 D Stock Options (right to buy) 9.49 2020-04-09 Class B Common Stock 316364 D Units in Director Deferred Compensation Plan Class A Common Stock 9095 D Shares of Class B common stock ("Class B Common Stock") of First Data Corporation (the "Issuer") are convertible into shares of Class A common stock of the Issuer ("Class A Common Stock") on a one-for-one basis at any time at the option of the holder with the prior written consent of the Issuer, automatically upon transfer, with certain exceptions, and upon certain other events. Includes 150,596 shares of restricted Class B Common Stock, including 131,923 of which will vest upon the expiration of the 180-day lock-up period in connection with the Issuer's initial public offering, 9,886 of which will vest on March 5, 2017 and 8,787 of which (i) 20% will vest upon the expiration of the 180-day lock-up period in connection with the Issuer's initial public offering, (ii) 40% will vest on February 24, 2017 and (iii) 40% will vest on February 24, 2018, subject to continued service through the applicable vesting dates. These stock options vest in equal annual installments on each of the first three anniversaries of March 5, 2014, subject to continued service through each applicable vesting date. These stock options are fully vested and exercisable. Each unit represents the economic equivalent of one share of Class A Common Stock. The units become payable in cash upon Mr. Forehand's termination of service as a director. Exhibit 24 - Power of Attorney By: /s/ Gretchen A. Herron, attorney-in-fact 2015-10-15 EX-24 2 attachment1.htm EX-24 DOCUMENT
                               POWER OF ATTORNEY

     Know all by these presents that Joe W. Forehand, does hereby make,
constitute and appoint each of Adam L. Rosman, Stanley J. Andersen and Gretchen
A. Herron, or either one of them, as a true and lawful attorney-in-fact of the
undersigned with full powers of substitution and revocation, for and in the
name, place and stead of the undersigned with full powers of substitution and
revocation, for and in the name, place and stead of the undersigned (in the
undersigned's individual capacity), to execute and deliver such forms that the
undersigned may be required to file with the U.S. Securities and Exchange
Commission as a result of the undersigned's ownership of or transactions in
securities of First Data Corporation (i) pursuant to Section 16(a) of the
Securities Exchange Act of 1934, as amended, including without limitation,
statements on Form 3, Form 4 and Form 5 (including any amendments thereto) and
(ii) in connection with any applications for EDGAR access codes, including
without limitation the Form ID. The Power of Attorney shall remain in full force
and effect until the undersigned is no longer required to file Forms 3, 4 and 5
with regard to the undersigned's ownership of or transactions in securities of
First Data Corporation, unless earlier revoked in writing. The undersigned
acknowledges that Adam L. Rosman, Stanley J. Andersen and Gretchen A. Herron are
not assuming any of the undersigned's responsibilities to comply with Section 16
of the Securities Exchange Act of 1934.

                                        By: /s/ Joe W. Forehand
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                                            Joe W. Forehand

Date: September 25, 2015
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