0001209191-17-001146.txt : 20170104
0001209191-17-001146.hdr.sgml : 20170104
20170104170640
ACCESSION NUMBER: 0001209191-17-001146
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170101
FILED AS OF DATE: 20170104
DATE AS OF CHANGE: 20170104
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: Rosman Adam L.
CENTRAL INDEX KEY: 0001549373
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11073
FILM NUMBER: 17506783
MAIL ADDRESS:
STREET 1: 200 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10281
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-01-01
0
0000883980
FIRST DATA CORP
FDC
0001549373
Rosman Adam L.
C/O FIRST DATA CORPORATION
225 LIBERTY STREET, 29TH FLOOR
NEW YORK
NY
10281
0
1
0
0
See remarks
Class B Common Stock
2017-01-01
4
F
0
8256
14.19
D
Class A Common Stock
8256
142992
D
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.
Represents shares withheld to pay tax obligations in connection with vesting of restricted stock.
Includes 71,710 shares of restricted Class B common stock.
Executive Vice President, General Counsel and Secretary
/s/ Gretchen A. Herron, by power of attorney
2017-01-04