0001209191-20-013994.txt : 20200228
0001209191-20-013994.hdr.sgml : 20200228
20200228170421
ACCESSION NUMBER: 0001209191-20-013994
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200226
FILED AS OF DATE: 20200228
DATE AS OF CHANGE: 20200228
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: 20671860
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
2020-02-26
0
0000798354
FISERV INC
FISV
0001207371
YABUKI JEFFERY W
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
1
0
0
Chairman and CEO
Common Stock
2020-02-26
4
A
0
52415
0.00
A
415537
D
Common Stock
341858
I
By Trust
Employee Stock Option (right to buy)
112.87
2020-02-26
4
A
0
168644
0.00
A
2021-02-26
2030-02-26
Common Stock
168644
168644
D
One-fourth of these restricted stock units vest on each anniversary of the grant date.
By the Yabuki Family Foundation of which Mr. Yabuki serves as trustee.
One-fourth of these options vest on each anniversary of the grant date.
/s/ Robert W. Hau (attorney-in-fact)
2020-02-28