0000899243-16-016235.txt : 20160317 0000899243-16-016235.hdr.sgml : 20160317 20160317175701 ACCESSION NUMBER: 0000899243-16-016235 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160315 FILED AS OF DATE: 20160317 DATE AS OF CHANGE: 20160317 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: Rosman Adam L. CENTRAL INDEX KEY: 0001549373 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11073 FILM NUMBER: 161513501 MAIL ADDRESS: STREET 1: 200 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-15 0 0000883980 FIRST DATA CORP FDC 0001549373 Rosman Adam L. C/O FIRST DATA CORPORATION 225 LIBERTY STREET, 29TH FLOOR NEW YORK NY 10281 0 1 0 0 See Remarks Class B Common Stock 2016-03-15 4 F 0 21734 12.57 D Class A Common Stock 21734 183902 D Shares of Class B common stock of First Data Corporation (the "Issuer") are convertible into shares of Class A common stock of the Issuer 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. Represents shares withheld to pay tax obligations in connection with the vesting of restricted stock awards. Includes 152,909 shares of restricted Class B common stock of the Issuer, of which 105,455 will vest in two equal installments on November 12, 2016 and November 12, 2017 and 47,454 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 January 1, 2017 and (iii) the remaining 40% will vest on January 1, 2018, subject to continued employment through the applicable vesting dates. Title - Executive Vice President, General Counsel and Secretary /s/ Stanley J. Andersen, by power of attorney 2016-03-17