SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Boyd Martin

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

(Street)
JACKSONVILLE FL 32204

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/31/2019
3. Issuer Name and Ticker or Trading Symbol
Fidelity National Information Services, Inc. [ FIS ]
4. 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
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 9,603.9668(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (2) (2) Common Stock 1,731 $0.0(3) D
Restricted Stock Units 08/02/2019(4) (4) Common Stock 1,453 $0.0(3) D
Restricted Stock Units 03/29/2020(5) (5) Common Stock 2,653 $0.0(3) D
Stock Option (Right to Buy) 03/29/2019(6) 03/29/2023 Common Stock 15,071 $62.92 D
Stock Option (Right to Buy) (7) 03/29/2024 Common Stock 31,422 $80.03 D
Stock Option (Right to Buy) (8) 03/29/2025 Common Stock 19,507 $96.3 D
Stock Option (Right to Buy) (9) 08/02/2025 Common Stock 10,434 $103.27 D
Stock Option (Right to Buy) (10) 03/29/2026 Common Stock 19,541 $113.1 D
Explanation of Responses:
1. Includes performance-based restricted stock, which contain annual performance criteria and vest in three annual installments commencing on the first anniversary of the date of grant on March 29, 2017 provided the performance criteria are met each year.
2. On March 29, 2018, the reporting person was granted an RSU of 2,596 shares of common stock. The restricted stock units vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
3. Each restricted stock unit represents a contingent right to one share of FIS common stock.
4. On August 2, 2018, the reporting person was granted an RSU of 1,453 shares of common stock. The restricted stock units vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
5. On March 29, 2019, the reporting person was granted an RSU of 2,653 shares of common stock. The restricted stock units vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
6. On March 29, 2016, the reporting person was granted an option to purchase 45,212 shares of common stock. The option vested in three equal annual installments based on FIS's satisfaction of certain performance criteria for each of the calendar years ending December 31, 2016, 2017 and 2018.
7. On March 29, 2017, the reporting person was granted an option to purchase 47,133 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. The performance criteria for 2017 and 2018 were met, resulting in vesting of the option as to 31,422. If performance criteria is met the third installment becomes exercisable on March 29, 2020.
8. On March 29, 2018, the reporting person was granted an option to purchase 19,507 shares of common stock. The option vests in three equal annual installments commencing on the first anniversary date of the grant.
9. On August 2, 2018, the reporting person was granted an option to purchase 10,434 shares of common stock. The option vests in three equal annual installments commencing on the first anniversary date of the grant.
10. On March 29, 2019, the reporting person was granted an option to purchase 19,541 shares of common stock. The option vests in three equal annual installments commencing on the first anniversary date of the grant.
Remarks:
/s/ Marc M. Mayo, attorney-in-fact 08/02/2019
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.