- Initial Statement of Beneficial Ownership (3)
09 Ottobre 2010 - 12:31AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
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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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1. Name and Address of Reporting Person
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Chojnowski David
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2. Date of Event Requiring Statement (MM/DD/YYYY)
10/1/2010
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3. Issuer Name
and
Ticker or Trading Symbol
Burger King Holdings Inc [BKC]
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(Last)
(First)
(Middle)
5505 BLUE LAGOON DRIVE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
VP, Chief Accounting Officer /
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(Street)
MIAMI, FL 33126
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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7187
(1)
(2)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Option to Purchase Common Stock
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(3)
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3/21/2019
(4)
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Common Stock
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8442
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$22.42
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D
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Option to Purchase Common Stock
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(5)
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8/26/2019
(5)
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Common Stock
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8697
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$18.31
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D
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Option to Purchase Common Stock
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(3)
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8/25/2020
(3)
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Common Stock
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11495
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$17.51
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D
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Explanation of Responses:
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(
1)
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4033 shares reported represent an award of performance based restricted stock granted to the Reporting Person by the Issuer on August 25, 2010. The shares will have a one year performance period beginning July 1, 2010 and ending June 30, 2011 and will vest 100% on the third anniversary of the grant date. The number of shares of performance based restricted stock that will be earned at the end of the one year performance period is subject to an increase or decrease of shares of up to 50% based on the results of the Company performance condition.
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(
2)
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3154 shares reported represent an award of performance based restricted stock granted to the Reporting Person by the Issuer on August 26, 2009. The shares will vest 100% on the third anniversary of the grant date.
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(
3)
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2873 of the shares are exercisable on 8/25/2011. 2874 of the shares are exercisable on each of 8/25/2012, 8/25/2013 and 8/25/2014.
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(
4)
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2110 of the shares were exercisable on 3/21/2010. 2111 of the shares are exercisable on each of 3/21/2011 and 3/21/2013; and 2110 of the shares are exercisable on 3/21/2012.
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(
5)
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2174 of the shares were exercisable on 8/26/2010. 2174 of the shares are exercisable on each of 8/26/2011 and 8/26/2012; and 2175 of the shares are exercisable on 8/26/2013.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Chojnowski David
5505 BLUE LAGOON DRIVE
MIAMI, FL 33126
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VP, Chief Accounting Officer
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Signatures
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Lisa Giles-Klein, as
Attorney-In-Fact for David Chojnowski
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10/8/2010
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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