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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Hoag Erik D

(Last) (First) (Middle)
347 RIVERSIDE AVE.

(Street)
JACKSONVILLE FL 32202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/04/2022
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)
CEVP Chief Financial 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 11,791.434 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 03/29/2023(1) (1) Common Stock 278 $0.0 D
Restricted Stock Units 03/29/2023(1) 03/29/2023(1) Common Stock 278 $0.0 D
Restricted Stock Units (2) (2) Common Stock 8,326 $0.0 D
Restricted Stock Units 03/29/2024(3) (3) Common Stock 486 $0.0 D
Restricted Stock Units 02/28/2025(4) (4) Common Stock 4,200 $0.0 D
Stock Option (Right to Buy) 03/29/2019(5) 03/29/2023 Common Stock 5,658 $62.92 D
Stock Option (Right to Buy) 03/29/2020(6) 03/29/2024 Common Stock 11,783 $80.03 D
Stock Option (Right to Buy) 03/29/2021(7) 03/29/2025 Common Stock 7,022 $96.3 D
Stock Option (Right to Buy) 03/29/2022(8) 03/29/2026 Common Stock 5,862 $113.1 D
Stock Option (Right to Buy) 03/29/2023(9) 03/29/2027 Common Stock 5,927 $120.1 D
Stock Option (Right to Buy) (9) 03/29/2027 Common Stock 5,927 $120.1 D
Stock Option (Right to Buy) 03/29/2024(10) 03/29/2028 Common Stock 4,495 $143.97 D
Stock Option (Right to Buy) 02/28/2025(11) 02/28/2029 Common Stock 24,015 $95.23 D
Explanation of Responses:
1. On March 29, 2020, the reporting person was granted restricted stock units, which vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
2. On March 29, 2020, the reporting person was granted restricted stock units, which vest and distribute in full on March 29, 2023.
3. On March 29, 2021, the reporting person was granted restricted stock units, which vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
4. On February 28, 2022, the reporting person was granted restricted stock units, which vest and distribute in three equal annual installments commencing on the first anniversary date of the grant.
5. On March 29, 2016, the reporting person was granted stock options, which vested in full on March 29, 2019.
6. On March 29, 2017, the reporting person was granted stock options, which vested in full on March 29, 2020.
7. On March 29, 2018, the reporting person was granted stock options, which vested in full on March 29, 2021.
8. On March 29, 2019, the reporting person was granted stock options, which vested in full on March 29, 2022.
9. On March 29, 2020, the reporting person was granted stock options which vests in three equal annual installments on each anniversary date.
10. On March 29, 2021, the reporting person was granted stock options which vests in three equal annual installments on each anniversary date.
11. On February 28, 2022, the reporting person was granted stock options which vests in three equal annual installments on each anniversary date.
Remarks:
/s/ Charles H. Keller, attorney-in-fact for Erik D. Hoag 11/08/2022
** 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.