0001209191-20-012100.txt : 20200224 0001209191-20-012100.hdr.sgml : 20200224 20200224172554 ACCESSION NUMBER: 0001209191-20-012100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200221 FILED AS OF DATE: 20200224 DATE AS OF CHANGE: 20200224 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: 001-38962 FILM NUMBER: 20645679 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 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 doc4.xml FORM 4 SUBMISSION X0306 4 2020-02-21 0 0000798354 FISERV INC FISV 0001207371 YABUKI JEFFERY W 255 FISERV DRIVE BROOKFIELD WI 53045 1 1 0 0 Chairman and CEO Common Stock 2020-02-21 4 F 0 8966 119.49 D 375580 D Common Stock 2020-02-22 4 F 0 12458 119.49 D 363122 D Common Stock 341858 I By Trust Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. By the Yabuki Family Foundation of which Mr. Yabuki serves as trustee. /s/ Robert W. Hau (attorney-in-fact) 2020-02-24