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*
Boyd Martin

(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)
President, Cap Mkt Solutions
3. Date of Earliest Transaction (Month/Day/Year)
03/29/2021
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 03/29/2021 A 2,274(1) A $0 10,388.0691 D
Common Stock 03/29/2021 F(2) 1,069 D $143.97 9,319.0691 D
Common Stock 03/29/2021 A 2,285(3) A $0 11,604.0691 D
Common Stock 03/29/2021 F(2) 1,074 D $143.97 10,530.0691 D
Common Stock 03/29/2021 A 423(4) A $0 10,953.0691 D
Common Stock 03/29/2021 F(2) 199 D $143.97 10,754.0691 D
Common Stock 03/29/2021 A 4,240(4) A $0 14,994.0691 D
Common Stock 03/29/2021 F(2) 1,993 D $143.97 13,001.0691 D
Common Stock 03/29/2021 M 866 A $0 13,867.0691 D
Common Stock 03/29/2021 F(5) 408 D $143.97 13,459.0691 D
Common Stock 03/29/2021 M 884 A $0 14,343.0691 D
Common Stock 03/29/2021 F(5) 416 D $143.97 13,927.0691 D
Common Stock 03/29/2021 M 166 A $0 14,093.0691 D
Common Stock 03/29/2021 F(5) 79 D $143.97 14,014.0691 D
Common Stock 03/29/2021 M 1,665 A $0 15,679.0691 D
Common Stock 03/29/2021 F(5) 783 D $143.97 14,896.0691 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 $0.0(6) 03/29/2021 M 866 (7) (7) Common Stock 866 $0 0 D
Restricted Stock Units $0.0(6) 03/29/2021 M 884 03/29/2020(7) (7) Common Stock 884 $0 885 D
Restricted Stock Units $0.0(6) 03/29/2021 M 166 03/29/2021(7) (7) Common Stock 166 $0 334 D
Restricted Stock Units $0.0(6) 03/29/2021 M 1,665 03/29/2021(7) (7) Common Stock 1,665 $0 3,331 D
Restricted Stock Units $0.0(6) 03/29/2021 A 5,297 03/29/2022(7) (7) Common Stock 5,297 $0 5,297 D
Stock Option (Right to Buy) $143.97 03/29/2021 A 32,641 03/29/2022(8) 03/29/2028 Common Stock 32,641 $143.97 32,641 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 Restricted Stock Unit 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. 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.
5. Represents shares to satisfy withholding tax obligation for PSU vesting.
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.
Remarks:
/s/ Charles H. Keller, attorney-in-fact for Martin Boyd 03/31/2021
** 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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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