Form 4 VISA INC. For: Nov 19 Filed by: Taneja Rajat
November 23, 2015 6:15 PM EST
| FORM
4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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: |
3235-0287 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
|
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue.
See
Instruction 1(b).
|
1. Name and Address of Reporting Person
*
| C/O VISA INC. |
| P.O. BOX 8999 |
(Street)
| SAN FRANCISCO |
CA |
94128-8999 |
|
2. Issuer Name
and
Ticker or Trading Symbol
VISA INC.
[
V
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| EVP TECHNOLOGY |
|
3. Date of Earliest Transaction
(Month/Day/Year)
11/19/2015
|
4. 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 Acquired, Disposed of, or
Beneficially Owned |
|---|
| 1.
Title of Security (Instr.
3)
|
2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
|
4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
|
5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
|
6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
7.
Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
Amount |
(A) or (D) |
Price |
|
Class A Common Stock
|
11/19/2015 |
|
F |
|
2,428
|
D
|
$
80.15
|
140,756
|
D
|
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr.
4)
|
11. Nature of Indirect Beneficial Ownership (Instr.
4)
|
| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
|
Employee Stock Option (Right to Buy)
|
$
80.15
|
11/19/2015 |
|
A |
|
105,836
|
|
|
11/19/2025 |
Class A Common Stock
|
105,836
|
$
0
|
105,836
|
D
|
|
|
Restricted Stock Units
|
|
11/19/2015 |
|
A |
|
19,925
|
|
|
|
Class A Common Stock
|
19,925
|
|
19,925
|
D
|
|
| Explanation of Responses: |
|
|
|
/s/ Sue Choi, Attorney-In-Fact |
11/23/2015 |
|
** 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
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). |
| 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. |
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints
each of Kelly Mahon Tullier, Tracey Heaton, Douglas Stewart, and Sue Choi of
Visa Inc., a Delaware corporation (the "Company"), signing individually, and
with full power of substitution, the undersigned's true and lawful
attorney-in-fact to: (1) prepare, execute for and on behalf of the undersigned,
and submit to the U.S. Securities and Exchange Commission (the "SEC"),
a Form ID or any successor form, including amendments thereto, and any other
documents necessary or appropriate to obtain codes and passwords enabling the
undersigned to make electronic filings with the SEC of reports required by
Section 16(a) of the Securities Exchange Act of 1934 or any rule or regulation
of the SEC; promulgated thereunder; (2) prepare and execute for and
on behalf of the undersigned Forms 3, 4 and 5 and any other forms or reports
the undersigned may be required to file in connection with the undersigned's
ownership, acquisition, or disposition of securities of the Company, and
any amendments thereto; and (3) cause such form(s) to be filed with
the SEC pursuant to Section 16(a) of the Securities Exchange Act of 1934,
relating to the undersigned's ownership, acquisition or disposition of
securities of the Company.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act as requisite, necessary, or
proper to be done in the exercise of any of the rights and powers herein
granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that any such attorney-in-fact, or any
such attorney-in-fact's substitute or substitutes, shall lawfully do or cause
to be done by virtue of this power of attorney and the rights and powers
herein granted.
The undersigned acknowledges that none of the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, is assuming, nor is
the Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the earliest
of: (1) the undersigned is no longer required to file Forms 3, 4 and 5 or any
successor form with respect to the undersigned's holdings of and transactions
in securities issued by the Company; (2) this Power of Attorney is revoked by
the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact; (3) as to a specific attorney-in-fact, the employment of such
attorney-in-fact with the Company is terminated; or (4) a new Power of Attorney
supersedes this Power of Attorney.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 20th day of November 2015.
By:/s/Rajat Taneja
Rajat Taneja
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