0001209191-16-143625.txt : 20161003 0001209191-16-143625.hdr.sgml : 20161003 20161003163244 ACCESSION NUMBER: 0001209191-16-143625 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160930 FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11073 FILM NUMBER: 161916075 MAIL ADDRESS: STREET 1: C/O ACCENTURE LEGAL & COMMERICAL GROUP STREET 2: 23RD FL 161 N CLARK STREET CITY: CHICAGO STATE: IL ZIP: 60601 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-09-30 0 0000883980 FIRST DATA CORP FDC 0001232908 FOREHAND JOE W 18208 PRESTON ROAD SUITE D9-387 DALLAS TX 75252 1 0 0 0 Class A Common Stock 2016-09-30 4 C 0 105454 0.00 A 115438 D Class A Common Stock 2016-09-30 5 G 0 E 105454 0.00 D 9984 D Class A Common Stock 2016-09-30 5 G 0 E 105454 0.00 A 105454 I By Firethorn Partners,Ltd. Class B Common Stock 2016-09-30 4 C 0 105454 0.00 D Class A Common Stock 105454 150596 D Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock. Mr. Forehand transferred these shares to Firethorn Partners,Ltd., a limited partnership of which Mr. Forehand, his wife, children, and grandchildren are the sole limited partners and of which J.W. Forehand, LLC, a limited liability company controlled by Mr. Forehand, is the general partner. Shares of Class B common stock (Class B Common Stock) of First Data Corporation (FDC) are convertible into shares of Class A common stock of FDC (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 FDC, automatically upon transfer, with certain exceptions, and upon certain other events. /s/ Gretchen A. Herron, by power of attorney 2016-10-03