Statement of Changes in Beneficial Ownership (4)
March 03 2021 - 4:34PM
Edgar (US Regulatory)
FORM 4
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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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Ramji Asif |
2. Issuer Name and Ticker or Trading Symbol
Fidelity National Information Services, Inc.
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FIS
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Chief Growth Officer |
(Last)
(First)
(Middle)
601 RIVERSIDE AVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/1/2021 |
(Street)
JACKSONVILLE, FL 32204
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 3/2/2021 | | S(1) | | 29992 | D | $138.32 | 1646.952 | D | |
Common Stock | 3/1/2021 | | M | | 28495.498 | A | $0 | 30142.45 | D | |
Common Stock | 3/1/2021 | | F(2) | | 11790 | D | $139.60 | 18352.45 | D | |
Common Stock | 3/1/2021 | | M | | 14247.242 | A | $0 | 32599.692 | D | |
Common Stock | 3/1/2021 | | F(2) | | 6426 | D | $139.60 | 26173.692 | D | |
Common Stock | 3/2/2021 | | M | | 246 | A | $0 | 26419.692 | D | |
Common Stock | 3/2/2021 | | F(2) | | 111 | D | $138.93 | 26308.692 | 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. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
Restricted Stock Units | $0.0 (3) | 3/1/2021 | | M | | | 28495.498 | 3/1/2021 | (4) | Common Stock | 28495.498 | $0 | 57000.14 | D | |
Restricted Stock Units | $0.0 (3) | 3/1/2021 | | M | | | 14247.242 | (4) | (4) | Common Stock | 14247.242 | $0 | 28500.576 | D | |
Restricted Stock Units | $0.0 (3) | 3/2/2021 | | M | | | 246 | (5) | (5) | Common Stock | 246.0 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Transacted under a 10b5-1 Plan. |
(2) | Represents shares to satisfy withholding tax obligation for Restricted Stock Unit vesting. |
(3) | Each restricted stock unit represents a contingent right to receive one share of FIS common stock. |
(4) | This restricted stock unit vests 1/3 on March 1, 2021 and 2/3 on March 1, 2022. |
(5) | This restricted stock unit vested in full March 2, 2021. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ramji Asif 601 RIVERSIDE AVE JACKSONVILLE, FL 32204 |
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| Chief Growth Officer |
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Signatures
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/s/ Charles H. Keller, attorney-in-fact for Asif Ramji | | 3/3/2021 |
**Signature of Reporting Person | Date |
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