Statement of Changes in Beneficial Ownership (4)
March 31 2021 - 5:03PM
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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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
*
Woodall James W. |
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) Corporate EVP - CFO |
(Last)
(First)
(Middle)
601 RIVERSIDE AVENUE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/29/2021 |
(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 | 3/29/2021 | | A | | 8182 (1) | A | $0 | 107192.876 | D | |
Common Stock | 3/29/2021 | | F(2) | | 2177 | D | $143.97 | 105015.876 | D | |
Common Stock | 3/29/2021 | | A | | 6856 (3) | A | $0 | 111871.876 | D | |
Common Stock | 3/29/2021 | | F(2) | | 2698 | D | $143.97 | 109173.876 | D | |
Common Stock | 3/29/2021 | | M | | 3116 | A | $0 | 112289.876 | D | |
Common Stock | 3/29/2021 | | F(4) | | 1227 | D | $143.97 | 111062.876 | D | |
Common Stock | 3/29/2021 | | M | | 2653 | A | $0 | 113715.876 | D | |
Common Stock | 3/29/2021 | | F(4) | | 1044 | D | $143.97 | 112671.876 | D | |
Common Stock | 3/29/2021 | | A | | 707 (5) | A | $0 | 113378.876 | D | |
Common Stock | 3/29/2021 | | F(2) | | 279 | D | $143.97 | 113099.876 | D | |
Common Stock | 3/29/2021 | | A | | 7067 (5) | A | $0 | 120166.876 | D | |
Common Stock | 3/29/2021 | | F(2) | | 2781 | D | $143.97 | 117385.876 | D | |
Common Stock | 3/29/2021 | | M | | 277 | A | $0 | 117662.876 | D | |
Common Stock | 3/29/2021 | | F(4) | | 109 | D | $143.97 | 117553.876 | D | |
Common Stock | 3/29/2021 | | M | | 2775 | A | $0 | 120328.876 | D | |
Common Stock | 3/29/2021 | | F(4) | | 1092 | D | $143.97 | 119236.876 | 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 | (6) | 3/29/2021 | | M | | | 3116 | (7) | (7) | Common Stock | 3116.0 | $0 | 0 | D | |
Restricted Stock Units | $0.0 (6) | 3/29/2021 | | M | | | 2653 | (7) | (7) | Common Stock | 2653.0 | $0 | 2653 | D | |
Restricted Stock Units | $0.0 (6) | 3/29/2021 | | M | | | 277 | 3/29/2021 (7) | (7) | Common Stock | 277.0 | $0 | 556 | D | |
Restricted Stock Units | $0.0 (6) | 3/29/2021 | | M | | | 2775 | 3/29/2021 (7) | (7) | Common Stock | 2775.0 | $0 | 5551 | D | |
Restricted Stock Units | $0.0 (6) | 3/29/2021 | | A | | 8502 | | 3/29/2022 (7) | (7) | Common Stock | 8502.0 | $0 | 8502 | D | |
Stock Option (Right to Buy) | $143.97 | 3/29/2021 | | A | | 52397 | | 3/29/2022 (8) | 3/29/2028 | Common Stock | 52397.0 | $143.97 | 52397 | D | |
Explanation of Responses: |
(1) | On March 29, 2018, the reporting person was granted performance restricted stock units ("PSUs") that vest in three equal installments contingent on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2018, 2019 and 2020. The PSUs vest between 0% and 150% of the target grant amount in each year. The Compensation Committee of FIS determined the performance criteria for 2020 had been met, resulting in an award of 95.5% of the target grant amount. |
(2) | Represents shares to satisfy withholding tax obligation for PSU vesting. |
(3) | On March 29, 2019, the reporting person was granted performance restricted stock units ("PSUs") that vest in three equal installments contingent on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2019, 2020 and 2021. The PSUs vest between 0% and 150% of the target grant amount in each year. The Compensation Committee of FIS determined the performance criteria for 2020 had been met, resulting in an award of 94% of the target grant amount. |
(4) | Represents shares to satisfy withholding tax obligation for Restricted Stock Unit vesting. |
(5) | On March 29, 2020, the reporting person was granted performance restricted stock units ("PSUs") that vest in three equal installments contingent on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2020, 20210 and 2022. The PSUs vest between 0% and 150% of the target grant amount in each year. The Compensation Committee of FIS determined the performance criteria for 2020 had been met, resulting in an award of 92.6% of the target grant amount. |
(6) | Each restricted stock unit represents a contingent right to receive one share of FIS common stock. |
(7) | The restricted stock units vest and distribute in three equal annual installments on each anniversary date. |
(8) | The option vests in three equal annual installments on each anniversary date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Woodall James W. 601 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 |
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| Corporate EVP - CFO |
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Signatures
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/s/ Charles H. Keller, attorney-in-fact for James W. Woodall | | 3/31/2021 |
**Signature of Reporting Person | Date |
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