0001209191-16-150283.txt : 20161115
0001209191-16-150283.hdr.sgml : 20161115
20161115175431
ACCESSION NUMBER: 0001209191-16-150283
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160930
FILED AS OF DATE: 20161115
DATE AS OF CHANGE: 20161115
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/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11073
FILM NUMBER: 162000858
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0306
4/A
2016-09-30
2016-10-03
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
104454
0.00
A
114438
D
Class A Common Stock
2016-09-30
5
G
0
E
104454
0.00
D
9984
D
Class A Common Stock
2016-09-30
5
G
0
E
104454
0.00
A
104454
I
By Firethorn Partners, Ltd.
Class B Common Stock
2016-09-30
4
C
0
104454
0.00
D
Class A Common Stock
104454
151596
D
Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock.
This Form 4 is being amended to report the correct number of shares converted and transferred and to correct the resulting balance of securities beneficially owned by Mr. Forehand following the transaction.
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
2016-11-15