UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Class B Common Stock | Â (1)(2)(3) | Â (1)(2) | Class A Common Stock | 57,748 (2) | $ (1) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Hack Jeffrey I C/O FIRST DATA CORPORATION 225 LIBERTY STREET, 29TH FLOOR NEW YORK, NY 10281 |
 |  |  See remarks |  |
/s/ Gretchen A. Herron, by power of attorney | 01/04/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Shares of Class B common stock (Class B Common Stock) of First Data Corporation (FDC) are convertible into shares of Class A common stock of FDC (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 FDC, automatically upon transfer, with certain exceptions, and upon certain other events. |
(2) | Includes 57,748 shares of restricted Class B Common Stock, including 22,597 of which vested on September 26, 2016 and 35,151 of which (i) 20% vested on April 11, 2016, (ii) 40% vested on January 1, 2017, and the remaining 40% will vest on January 1, 2018, subject to continued employment through the applicable vesting dates. |
(3) | This Amended Form 3 is being filed to correct the vesting schedule that was incorrectly reported for 35,151 shares of restricted Class B common stock. The correct vesting is (i) 20% on April 11, 2016, (ii) 40% on January 1, 2017 (rather than February 7, 2017) and (iii) the remaining 40% on January 1, 2018 (rather than February 7, 2018), subject to continued employment through the applicable vesting dates. |
 Remarks: Executive Vice President, Global Business Solutions |