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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 62.92 | 03/29/2019 | A | 3,446 (1) | 03/29/2019 | 03/29/2023 | Common Stock | 3,446 | $ 62.92 | 10,337 | D | ||||
Phantom Stock (2) | $ 0 (3) | 03/29/2019 | A | 68.9048 | (4) | (4) | Common Stock | 68.9048 | $ 113.1 | 22,334.9942 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HUGHES KEITH W 601 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 |
X |
/s/ Marc M. Mayo, attorney-in-fact | 04/02/2019 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On March 29, 2016, the reporting person was granted an option to purchase 10,337 shares of common stock. The option vests in three equal installments based on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2016, 2017 and 2018. Based on FIS's Annual Report on Form 10-K, the Compensation Committee of FIS determined that the performance criteria for 2018 had been met, resulting in vesting of the option as to 3,446 shares. |
(2) | The issuer has reinvested dividends on behalf of the reporting person pursuant to its Deferred Compensation Plan. |
(3) | Each share of phantom stock is the economic equivalent of one share of FIS common stock. |
(4) | Shares of phantom stock are payable in cash following the reporting person's termination of service as a director. |