Initial Statement of Beneficial Ownership (3)
September 08 2021 - 4:19PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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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1. Name and Address of Reporting Person
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Ferris Stephanie |
2. Date of Event Requiring Statement (MM/DD/YYYY)
9/2/2021
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3. Issuer Name and Ticker or Trading Symbol
Fidelity National Information Services, Inc. [FIS]
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(Last)
(First)
(Middle)
601 RIVERSIDE AVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Chief Administrative Officer / |
(Street)
JACKSONVILLE, FL 32204
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 0 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 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) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units | (1) | (1) | Common Stock | 20222.46 | $0.0 (2) | D | |
Restricted Stock Units | (3) | (3) | Common Stock | 110079.302 | $0.0 (2) | D | |
Stock Option (Right to Buy) | 11/30/2019 | 3/1/2029 | Common Stock | 26329.0 | $96.76 | D | |
Explanation of Responses: |
(1) | This restricted stock unit vests in full on December 31, 2021. |
(2) | Each restricted stock unit represents a contingent right to one share of FIS common stock. |
(3) | This restricted stock unit vests in full on March 1, 2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ferris Stephanie 601 RIVERSIDE AVE JACKSONVILLE, FL 32204 |
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| Chief Administrative Officer |
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Signatures
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/s/ Charles H. Keller, attorney-in-fact for Stephanie Ferris | | 9/8/2021 |
**Signature of Reporting Person | Date |
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