0001181431-12-049363.txt : 20120907 0001181431-12-049363.hdr.sgml : 20120907 20120907182010 ACCESSION NUMBER: 0001181431-12-049363 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120906 FILED AS OF DATE: 20120907 DATE AS OF CHANGE: 20120907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DILLON DONALD F CENTRAL INDEX KEY: 0000945827 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 121081233 MAIL ADDRESS: STREET 1: 1345 OLD CHENEY RD CITY: LINCOLN STATE: NE ZIP: 68512 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 rrd355467.xml X0306 4 2012-09-06 0 0000798354 FISERV INC FISV 0000945827 DILLON DONALD F 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2012-09-06 4 M 0 101109 30.99 A 1859013 D Common Stock 2012-09-06 4 S 0 101109 72.591 D 1757904 D Common Stock 2012-09-07 4 M 0 520 30.760 A 1758424 D Common Stock 2012-09-07 4 S 0 520 72.9589 D 1757904 D Common Stock 2012-09-07 4 M 0 9970 30.76 A 1767874 D Common Stock 2012-09-07 4 S 0 9970 72.9767 D 1757904 D Common Stock 2012-09-07 4 M 0 403 39.67 A 1758307 D Common Stock 2012-09-07 4 S 0 403 72.9472 D 1757904 D Common Stock 2012-09-07 4 M 0 447 35.79 A 1758351 D Common Stock 2012-09-07 4 S 0 447 72.9391 D 1757904 D Common Stock 133750 I By Trust Stock Option (right to buy) 30.99 2012-09-06 4 M 0 101109 0 D 2003-02-11 2013-02-11 Common Stock 101109 0 D Stock Option (right to buy) 30.76 2012-09-07 4 M 0 520 0 D 2004-05-20 2013-05-20 Common Stock 520 0 D Stock Option (right to buy) 30.76 2012-09-07 4 M 0 9970 0 D 2004-05-20 2013-05-20 Common Stock 9970 0 D Stock Option (right to buy) 39.67 2012-09-07 4 M 0 403 0 D 2004-08-19 2013-08-19 Common Stock 403 0 D Stock Option (right to buy) 35.79 2012-09-07 4 M 0 447 0 D 2004-11-19 2013-11-19 Common Stock 447 0 D This transaction was executed in multiple trades at prices ranging from $72.45 to $72.84. 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. This transaction was executed in multiple trades at prices ranging from $72.78 to $73.07. 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. This transaction was executed in multiple trades at prices ranging from $72.75 to $73.24. 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. This transaction was executed in multiple trades at prices ranging from $72.75 to $73.24. 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. This transaction was executed in multiple trades at prices ranging from $72.76 to $73.08. 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. By the Dillon Foundation of which Mr. Dillon serves as a trustee. The option vested in 5 equal annual installments beginning February 11, 2003 and is due to expire February 11, 2013. The option vested in 5 equal annual installments beginning May 20, 2004 and is due to expire May 20, 2013. The option vested in 5 equal annual installments beginning May 20, 2004 and is due to expire May 20, 2013. The option vested in 5 equal annual installments beginning August 19, 2004 and is due to expire August 19, 2013. The option vested in 5 equal annual installments beginning November 19, 2004 and is due to expire November 19, 2013. /s/ Charles W. Sprague (attorney-in-fact) 2012-09-07