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*
Warren Thomas K

(Last) (First) (Middle)
601 RIVERSIDE AVENUE

(Street)
JACKSONVILLE FL 32204

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/01/2021
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)
Chief Accounting Officer
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 4,652.343 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 03/29/2022(1) (1) Common Stock 442 0.0 D
Restricted Stock Units (1) (1) Common Stock 1,041 0.0 D
Restricted Stock Units 08/26/2022(2) 08/26/2022 Common Stock 1,042 0.0 D
Restricted Stock Units (1) 03/29/2024 Common Stock 695 0.0 D
Stock Option (Right to Buy) 03/29/2020(3) 03/29/2024 Common Stock 1,964 80.03 D
Stock Option (Right to Buy) 03/29/2021(3) 03/29/2025 Common Stock 2,809 96.3 D
Stock Option (Right to Buy) 03/29/2022(3) 03/29/2026 Common Stock 2,606 113.1 D
Stock Option (Right to Buy) 03/29/2023(3) 03/29/2027 Common Stock 2,963 120.1 D
Stock Option (Right to Buy) 03/29/2024(3) 03/29/2028 Common Stock 4,281 143.97 D
Explanation of Responses:
1. The restricted stock units vest and distribute in three equal annual installments on each anniversary date.
2. These restricted stock units vest in full on August 26, 2022.
3. The option vests in three equal annual installments on each anniversary date.
Remarks:
/s/ Charles H. Keller, attorney-in-fact for Thomas K. Warren 06/10/2021
** 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 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.