0000899243-16-026216.txt : 20160803 0000899243-16-026216.hdr.sgml : 20160803 20160803162539 ACCESSION NUMBER: 0000899243-16-026216 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160411 FILED AS OF DATE: 20160803 DATE AS OF CHANGE: 20160803 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: Larsen Christine E CENTRAL INDEX KEY: 0001654738 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-11073 FILM NUMBER: 161804214 MAIL ADDRESS: STREET 1: C/O FIRST DATA CORPORATION STREET 2: FIRST DATA, 225 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2016-04-11 2016-04-13 0 0000883980 FIRST DATA CORP FDC 0001654738 Larsen Christine E C/O FIRST DATA CORPORATION 225 LIBERTY STREET, 29TH FLOOR NEW YORK NY 10281 0 1 0 0 See Remarks Class B Common Stock 2016-04-11 4 F 0 196249 12.13 D Class A Common Stock 196249 341570 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. This Form 4 is being amended to report the correct number of shares withheld to pay tax obligations in connection with the vesting of restricted stock awards and to correct the resulting balance of securities beneficially owned by the Reporting Person following the transaction. Includes 139,596 shares of restricted Class B common stock of the Issuer, including 65,250 of which will vest on January 1, 2017 and 74,346 of which will vest in two equal installments on January 1, 2017 and January 1, 2018, subject to continued employment through the applicable vesting dates. Ms. Larsen's Form 3 filing had incorrectly reported 379,637 shares of restricted Class B common stock of the Issuer scheduled to vest on June 3, 2016 rather than on the date of the expiration of the 180-day lock-up period in connection with the Issuer's initial public offering (April 11, 2016). Title - Executive Vice President, Chief Operations Officer /s/ Gretchen A. Herron, by power of attorney 2016-08-03