SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LOWTHERS BRUCE F JR

(Last) (First) (Middle)
601 RIVERSIDE AVE

(Street)
JACKSONVILLE FL 32204

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Fidelity National Information Services, Inc. [ FIS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CEVP, Chief Operating Officer
3. Date of Earliest Transaction (Month/Day/Year)
03/29/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/29/2019 F 543(1) D $113.1 23,683 D
Common Stock 03/29/2019 F 1,025(1) D $113.1 22,658 D
Common Stock 03/29/2019 A 7,139(2) A $0 24,226 D
Common Stock 03/29/2019 F 2,810(3) D $113.1 19,848 D
Common Stock 03/29/2019 F 681(4) D $113.1 19,167 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 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: 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(5) 03/29/2019 A 5,305 (6) (6) Common Stock 5,305 $0 5,305 D
Restricted Stock Units $0(5) 03/29/2019 A 4,421 (7) (7) Common Stock 4,421 $0 4,421 D
Stock Option (Right to Buy) $62.92 03/29/2019 A 9,431(8) 03/29/2019 03/29/2023 Common Stock 9,431 $62.92 28,292 D
Stock Option (Right to Buy) $80.03 03/29/2019 A 16,366(9) 03/29/2019 03/29/2024 Common Stock 16,366 $80.03 32,731 D
Stock Option (Right to Buy) $113.1 03/29/2019 A 39,083 (10) 03/29/2026 Common Stock 39,083 $0 39,083 D
Explanation of Responses:
1. Represents shares to satisfy withholding tax obligation for Restricted Stock vesting.
2. 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 that the maximum performance criteria for 2018 had been met, resulting in an award of 150% of the target grant amount.
3. Represents shares to satisfy withholding tax obligation for PSU vesting.
4. Represents shares to satisfy withholding tax obligation for Restricted Stock Unit vesting.
5. Each restricted stock unit represents a contingent right to receive one share of FIS common stock.
6. The restricted stock units vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
7. The restricted stock units vest and distribute on the third anniversary date of the grant.
8. On March 29, 2016, the reporting person was granted an option to purchase 28,292 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 9,431 shares.
9. On March 29, 2017, the reporting person was granted an option to purchase 49,097 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, 2017, 2018 and 2019. 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 16,366 shares.
10. The option vests in three equal annual installments commencing on the first anniversary date of the grant.
/s/ Marc M. Mayo, attorney-in-fact 04/02/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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