0001181431-11-044695.txt : 20110809 0001181431-11-044695.hdr.sgml : 20110809 20110809180420 ACCESSION NUMBER: 0001181431-11-044695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110808 FILED AS OF DATE: 20110809 DATE AS OF CHANGE: 20110809 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YABUKI JEFFERY W CENTRAL INDEX KEY: 0001207371 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 111022155 MAIL ADDRESS: STREET 1: 4400 MAIN ST CITY: KANSAS CITY STATE: MO ZIP: 64111 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISERV INC CENTRAL INDEX KEY: 0000798354 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 391506125 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 255 FISERV DR STREET 2: PO BOX 979 CITY: BROOKFIELD STATE: WI ZIP: 53045 BUSINESS PHONE: 4148795000 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 rrd319467.xml X0304 4 2011-08-08 0 0000798354 FISERV INC FISV 0001207371 YABUKI JEFFERY W 255 FISERV DRIVE BROOKFIELD WI 53045 1 1 0 0 President & CEO Common Stock 2011-08-08 4 P 0 1000 53.00 A 152674 D Common Stock 1000 I By Trust Includes 398 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan. By the Yabuki Family Foundation of which Mr. Yabuki serves as trustee. /s/ Charles W. Sprague (attorney-in-fact) 2011-08-09