0001209191-17-064779.txt : 20171208 0001209191-17-064779.hdr.sgml : 20171208 20171208172034 ACCESSION NUMBER: 0001209191-17-064779 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171206 FILED AS OF DATE: 20171208 DATE AS OF CHANGE: 20171208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gelb Andrew CENTRAL INDEX KEY: 0001654671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11073 FILM NUMBER: 171247855 MAIL ADDRESS: STREET 1: C/O FIRST DATA CORPORATION STREET 2: FIRST DATA, 225 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 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 2017-12-06 0 0000883980 FIRST DATA CORP FDC 0001654671 Gelb Andrew C/O FIRST DATA CORPORATION 225 LIBERTY STREET, 29TH FLOOR NEW YORK NY 10281 0 1 0 0 See remarks Class A Common Stock 2017-12-06 4 C 0 1125 0.00 A 418777 D Class A Common Stock 2017-12-06 5 G 0 E 1125 0.00 D 417652 D Class B Common Stock 2017-12-06 4 C 0 1125 0.00 D Class A Common Stock 1125 86596 D Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock. Represents charitable donation of shares of Class A common stock by the reporting person. 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 17,137 shares of restricted Class B common stock. Executive Vice President, Global Financial Services /s/ Gretchen A. Herron, by power of attorney 2017-12-08