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