Form 4 for QSR Restaurant Brands International Inc.

Accepted 2022-01-04 00:00:00 ET · period of report 2021-12-30 · accession 0001209191-22-001077 · SEC index · Original document

Summary rows

Aggregated the way they appear in lists: one row per insider, transaction code and security table.

X	Filed	Traded	Ticker	Insider	Title	Type	Price	Qty	Owned	ΔOwn	Value
MI	2022-01-04	2021-02-03	QSR	FRIBOURG PAUL J	Dir	G - Gift	$0.00	0	24.9K	New	$0
	2022-01-04	2021-12-30	QSR	FRIBOURG PAUL J	Dir	A - Grant	$0.00	+2,980	65.6K	+5%	$0

Purchase Sale Sale after option exercise All abbreviations

#	Table	Security	Date	Code	A/D	Shares	Price	Owned after	Own	Exercise / expiry	Underlying	Footnotes
1	Common	Common Shares	2021-02-03	G	D	24,862	$0.00	0	I By Trust	—	—	(F2) Reflects the transfer of 90,000 shares previously held by the Reporting Person's prior 2020 grantor retained annuity trust to the Reporting Person and the transfer of 90,000 shares from the Reporting Person to the Reporting Person's new 2021 grantor retained annuity trust, in exempt transactions. (F5) Represents an indirect interest held by the Paul J. Fribourg 2017 Family Trust of which the Reporting Person is a trustee and his lineal descendants are the beneficiaries.
2	Common	Common Shares	2021-02-03	G	A	24,862	$0.00	24,862	I	—	—
3	Common	Common Shares	2021-12-30	A	A	2,980	$0.00	65,559	D By GRAT	—	—	(F1) Represents restricted stock units that are earned and vested upon grant and that settle upon termination of board service. (F2) Reflects the transfer of 90,000 shares previously held by the Reporting Person's prior 2020 grantor retained annuity trust to the Reporting Person and the transfer of 90,000 shares from the Reporting Person to the Reporting Person's new 2021 grantor retained annuity trust, in exempt transactions. (F4) Represents an indirect interest held by the Reporting Person's 2020 grantor retained annuity trust.