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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (right to purchase) | $ 8.42 | 11/09/2006 | A | 5,548 | 04/16/2004 | 04/16/2011 | Common Stock | 5,548 | (3) | 5,548 | D | ||||
Stock Option (right to purchase) | $ 22.38 | 11/09/2006 | A | 16,677 | (4) | 09/10/2012 | Common Stock | 16,677 | (5) | 16,677 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Chan Francis K 601 RIVERSIDE AVENUE JACKSONVILLE, FL 32204 |
SVP/Chief Accounting Officer |
Francis Chan | 11/13/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Received in exchange for 729 Fidelity National Financial, Inc. ("FNF") common stock in connection with the merger of FNF with and into Fidelity National Information Services, Inc. ("FIS")(the "Merger"). On the effective date of the Merger the closing price of FNF's common stock was $21.24 and the closing price of FIS's common stock was $41.35. |
(2) | Received in exchange for 3,667 shares of Fidelity National Financial, Inc. ("FNF")in connection with the Merger referenced in footnote 1, above. |
(3) | Received in the Merger in exchange for a stock option to acquire 10,399 shares of FNF's common stock for $4.4904 per share. |
(4) | The option vests in three equal annual installments beginning September 10, 2005. |
(5) | Received in the Merger in exchange for a stock option to acquire 31,259 shares of FNF common stock for $11.94 per share. |