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