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Actionable news in QSR: RESTAURANT BRANDS INTERNATIONAL Inc,

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

SEC Form 4

FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number: 3235-0287
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Cil Jose E.
(Last) (First) (Middle)
226 WYECROFT ROAD
(Street)
OAKVILLE A6 L6K 3X7
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Restaurant Brands International Inc. [ QSR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior EVP, Pres. Burger King
3. Date of Earliest Transaction (Month/Day/Year)
11/08/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 11/08/2017 M(1) 9,092 A $3.54 350,613 D
Common Shares 11/08/2017 S(1) 4,100 D $66(2) 346,513 D
Common Shares 11/13/2017 M(1) 85,256 A $3.54 431,769 D
Common Shares 11/13/2017 S(1) 38,480 D $65(3) 393,289 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Exchangeable units(4)(5) (4)(5) (5) (5) Common Shares 105,758 105,758 D
Option (right to buy) $3.54 11/08/2017 M(1) 9,092 (6) 02/20/2022 Common Shares 9,092 $0.00 89,316 D
Option (right to buy) $3.54 11/13/2017 M(1) 85,256 (6) 02/20/2022 Common Shares 85,256 $0.00 4,060 D
Option (right to buy) $3.97 (6) 02/28/2022 Common Shares 213,806 213,806 D
Option (right to buy) $18.25 12/31/2017 02/28/2023 Common Shares 37,808 37,808 D
Option (right to buy) $18.25 03/01/2018 02/28/2023 Common Shares 150,000 150,000 D
Option (right to buy) $27.28 12/31/2018 03/06/2024 Common Shares 58,651 58,651 D
Option (right to buy) $27.28 03/07/2019 03/06/2024 Common Shares 180,000 180,000 D
Option (right to buy) $42.26 12/31/2019 03/05/2025 Common Shares 35,967 35,967 D
Option (right to buy) $42.26 03/06/2020 03/05/2025 Common Shares 166,667 166,667 D
Restricted Share Units (7) (8) (8) Common Shares 35,640 35,640 D
Dividend Equivalent Rights (9) (10) (10) Common Shares 858.3352 858.3352 D
Option (right to buy) $33.67 02/26/2021 02/25/2026 Common Shares 125,000 125,000 D
Restricted Share Units (7) (11) (11) Common Shares 16,694 16,694 D
Dividend Equivalent Rights (9) (12) (12) Common Shares 157.36 157.36 D
Explanation of Responses:
1. The Reporting Person exercised these options in order to retain ownership of all shares, less only those required to be sold to pay the exercise price and applicable taxes.
2. Represents the weighted average price of the shares sold. The prices of the shares sold pursuant to the transaction ranged from $66.00 to $66.01 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price.
3. Represents the weighted average price of the shares sold. The prices of the shares sold pursuant to the transaction ranged from $65.00 to $65.03 per share. The Reporting Person, upon request, will provide the Securities and Exchange Commission staff, the issuer or a security holder of the issuer full information regarding the number of shares sold at each separate price.
4. On December 12, 2014, Burger King Worldwide, Inc. ("Burger King Worldwide") consummated the business combination (the "Merger") pursuant to the Arrangement Agreement and Plan of Merger dated August 26, 2014 by and among Burger King Worldwide, Tim Hortons Inc., Restaurant Brands International Inc., Restaurant Brands International Limited Partnership and the other parties thereto (the "Arrangement Agreement"). Pursuant to the Reporting Person's election under the Arrangement Agreement, each share of Burger King Worldwide common stock previously held by the Reporting Person was converted into one Restaurant Brands International Limited Partnership exchangeable unit.
5. Each Restaurant Brands International Limited Partnership exchangeable unit is convertible, at the Reporting Person's election, at any time after the one year anniversary of the Merger, into common shares of Restaurant Brands International Inc. or a cash amount equal to a prescribed cash amount determined by reference to the weighted average trading price of Restaurant Brands International Inc.'s common shares on the New York Stock Exchange for the 20 consecutive trading days ending on the last business day prior to the exchange date, at the sole discretion of the general partner of Restaurant Brands International Limited Partnership (subject to the consent of the Restaurant Brands International Inc. conflicts committee, in certain circumstances). This conversion right has no expiration date.
6. These options are immediately exercisable.
7. Each restricted share unit represents a contingent right to receive one common share.
8. These restricted share units vest on December 31, 2020.
9. Each whole dividend equivalent right represents a contingent right to receive one common share.
10. These dividend equivalent rights accrued on the 2016 restricted share unit award (the "2016 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2016 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2016 RSUs to which they relate.
11. These restricted share units vest on December 31, 2021.
12. These dividend equivalent rights accrued on the 2017 restricted share unit award (the "2017 RSUs"). Dividend equivalent rights accrue when and as dividends are paid on the common shares underlying the 2017 RSUs and vest proportionately with and are subject to settlement and expiration upon the same terms as the 2017 RSUs to which they relate.
Remarks:
/s/ Lisa Giles-Klein, as Attorney-in-Fact for Jose Cil 11/13/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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