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