0000798354-24-000017.txt : 20240131 0000798354-24-000017.hdr.sgml : 20240131 20240131180056 ACCESSION NUMBER: 0000798354-24-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240129 FILED AS OF DATE: 20240131 DATE AS OF CHANGE: 20240131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chiarello Guy CENTRAL INDEX KEY: 0001654667 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 24584238 MAIL ADDRESS: STREET 1: 225 LIBERTY STREET STREET 2: 29TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10281 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISERV INC CENTRAL INDEX KEY: 0000798354 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] ORGANIZATION NAME: 07 Trade & Services 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 wk-form4_1706742045.xml FORM 4 X0508 4 2024-01-29 0 0000798354 FISERV INC FI 0001654667 Chiarello Guy 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Operating Officer 0 Common Stock 2024-01-29 4 F 0 5680 142.91 D 141176 D Common Stock 2024-01-29 4 A 0 26996 0 A 168172 D Common Stock 2024-01-29 4 F 0 13774 142.91 D 154398 D Common Stock 37381 I By Trust Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. Reflects the issuance of shares on January 29, 2024, upon the vesting of performance share units granted on January 29, 2021. Reflects payment of tax liability by withholding securities incident to vesting of performance share units. Held by The Denise Chiarello 2021 Trust for the benefit of the reporting person and the reporting person's children and of which the reporting person serves as trustee. /s/ Eric C. Nelson (attorney-in-fact) 2024-01-31