0001209191-19-043557.txt : 20190729
0001209191-19-043557.hdr.sgml : 20190729
20190729172414
ACCESSION NUMBER: 0001209191-19-043557
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190729
FILED AS OF DATE: 20190729
DATE AS OF CHANGE: 20190729
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Zabaneh Samir Michael
CENTRAL INDEX KEY: 0001605146
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11073
FILM NUMBER: 19982482
MAIL ADDRESS:
STREET 1: 90 NASSAU STREET
STREET 2: 2ND FLOOR, HEARTLAND PAYMENT SYSTEMS
CITY: PRINCETON
STATE: NJ
ZIP: 08542
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
2019-07-29
1
0000883980
FIRST DATA CORP
FDC
0001605146
Zabaneh Samir Michael
C/O FIRST DATA CORPORATION
225 LIBERTY STREET, 29TH FLOOR
NEW YORK
NY
10281
0
1
0
0
Executive Vice President
Class A Common Stock
2019-07-29
4
D
0
197392
D
0
D
Stock Options (right to buy)
19.70
2019-07-29
4
D
0
197392
D
2028-07-16
Class A Common Stock
197392
0
D
Restricted stock units previously subject to time-based vesting which were converted into units denominated in shares of Fiserv, Inc. (Fiserv) common stock based on the exchange ratio (defined in footnote (2)) and will continue to be governed by the same terms and conditions as were applicable at the effective time in accordance with the Agreement and Plan of Merger dated January 16, 2019 (the Merger Agreement) among First Data Corporation (Issuer), Fiserv, and 300 Holdings, Inc. (Merger Sub).
Pursuant to the Merger Agreement among Issuer, Fiserv, and Merger Sub, upon the effective time of the merger of Merger Sub into Issuer (the Merger) on July 29, 2019, each common share of the Issuer was converted in the right to receive 0.303 shares of Fiserv common stock (the exchange ratio).
The options were originally scheduled to vest in equal annual installments on each of the first three anniversaries of August 15, 2018.
Pursuant to the Merger Agreement, immediately after the effective time of the Merger, the option was converted into an option to purchase a number of shares of Fiserv common stock equal to the number of shares of Issuer common stock subject to such option award immediately prior the effective time multiplied by the exchange ratio, with an exercise price per share equal to the exercise price per share of such stock option immediately prior to the effective time divided by the exchange ratio. The options will continue to be governed by the same vesting terms as were applicable at the effective time.
/s/ Gretchen A. Herron, by power of attorney
2019-07-29