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