0001209191-17-052185.txt : 20170911
0001209191-17-052185.hdr.sgml : 20170911
20170911131434
ACCESSION NUMBER: 0001209191-17-052185
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170911
FILED AS OF DATE: 20170911
DATE AS OF CHANGE: 20170911
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bisignano Frank
CENTRAL INDEX KEY: 0001346629
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11073
FILM NUMBER: 171078627
MAIL ADDRESS:
STREET 1: JPMORGAN CHASE & CO.
STREET 2: 270 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-09-11
0
0000883980
FIRST DATA CORP
FDC
0001346629
Bisignano Frank
C/O FIRST DATA CORPORATION
225 LIBERTY STREET, 29TH FLOOR
NEW YORK
NY
10281
1
1
0
0
Chief Executive Officer
Class A Common Stock
2017-09-11
4
C
0
10905
0.00
A
7118303
D
Class A Common Stock
2017-09-11
5
G
0
E
10905
0.00
D
7107398
D
Class A Common Stock
325465
I
See footnote
Class A Common Stock
1900
I
By trust
Class A Common Stock
5800
I
By spouse
Class A Common Stock
10190
I
See footnote
Class B Common Stock
2017-09-11
4
C
0
10905
0.00
D
Class A Common Stock
10905
1973436
D
Class B Common Stock
Class A Common Stock
277134
277134
I
See footnote
Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock.
Represents a charitable donation of shares of Class A common stock by the reporting person.
Held by the Frank J. Bisignano 2016 Grantor Retained Annuity Trust.
These shares are held in accounts for the benefit of the reporting person's children.
Shares of Class B Common Stock are convertible into shares of 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 the issuer, automatically upon transfer, with certain exceptions, and upon certain other events.
Includes 216,394 shares of restricted Class B common stock.
/s/ Gretchen A. Herron, by power of attorney
2017-09-11