SEC Form 4
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
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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*
LEVY GERALD J

(Last) (First) (Middle)
4000 W. BROWN DEER ROAD

(Street)
BROWN DEER WI 53209

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FISERV INC [ FISV ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
02/09/2010
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
Common Stock 02/09/2010 M 600 A $21.333 130,541 D
Common Stock 02/09/2010 S 600 D $45.575(1) 129,941 D
Common Stock 02/09/2010 M 600 A $23.833 130,541 D
Common Stock 02/09/2010 S 600 D $45.555(2) 129,941 D
Common Stock 02/09/2010 M 600 A $29.917 130,541 D
Common Stock 02/09/2010 S 600 D $45.548(3) 129,941 D
Common Stock 02/09/2010 M 600 A $35.583 130,541 D
Common Stock 02/09/2010 S 94 D $45.55 130,447 D
Common Stock 02/09/2010 M 600 A $32.458 131,047 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
Stock option (right to buy) $21.333 02/09/2010 M 600(4) 02/16/2000 02/16/2010 Common Stock 600 $0 0 D
Stock option (right to buy) $23.833 02/09/2010 M 600(5) 03/30/2000 03/30/2010 Common Stock 600 $0 0 D
Stock option (right to buy) $29.917 02/09/2010 M 600(6) 05/17/2010 05/17/2010 Common Stock 600 $0 0 D
Stock option (right to buy) $35.583 02/09/2010 M 600(7) 08/16/2000 08/16/2010 Common Stock 600 $0 0 D
Stock option (right to buy) $32.458 02/09/2010 M 600(8) 11/08/2000 11/08/2010 Common Stock 600 $0 0 D
Explanation of Responses:
1. This transaction was executed in multiple trades at prices ranging from $45.57 to $45.578. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
2. This transaction was executed in multiple trades at prices ranging from $45.55 to $45.558. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
3. This transaction was executed in multiple trades at prices ranging from $45.54 to $45.552. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
4. This option vested in five equal installments beginning February 16, 2000 and is due to expire February 16, 2010.
5. This option vested in five equal installments beginning March 30, 2000 and is due to expire March 30, 2010.
6. This option vested in five equal installments beginning May 17, 2000 and is due to expire May 17, 2010.
7. This option vested in five equal installments beginning August 16, 2000 and is due to expire August 16, 2010.
8. This option vested in five equal installments beginning November 18, 2000 and is due to expire November 18, 2010.
/s/ Thomas J. Hirsch (attorney-in-fact) 02/11/2010
** 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.