0000798354-24-000075.txt : 20240313
0000798354-24-000075.hdr.sgml : 20240313
20240313164912
ACCESSION NUMBER: 0000798354-24-000075
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240312
FILED AS OF DATE: 20240313
DATE AS OF CHANGE: 20240313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gopal Ajei
CENTRAL INDEX KEY: 0001302712
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 24746658
MAIL ADDRESS:
STREET 1: CA, INC.
STREET 2: ONE CA PLAZA
CITY: ISLANDIA
STATE: NY
ZIP: 11749
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: 600 N. VEL R. PHILLIPS AVENUE
CITY: MILWAUKEE
STATE: WI
ZIP: 53203
BUSINESS PHONE: 4148795000
MAIL ADDRESS:
STREET 1: 600 N. VEL R. PHILLIPS AVENUE
CITY: MILWAUKEE
STATE: WI
ZIP: 53203
4
1
wk-form4_1710362933.xml
FORM 4
X0508
4
2024-03-12
0
0000798354
FISERV INC
FI
0001302712
Gopal Ajei
600 N. VEL R. PHILLIPS AVENUE
MILWAUKEE
WI
53203
1
0
0
0
0
Common Stock
2024-03-12
4
A
0
240
0
A
240
D
These restricted stock units each represent a contingent right to receive one share of Fiserv, Inc. common stock. The restricted stock units vest 100% on the earlier of: (i) the first anniversary of the grant date or (ii) immediately prior to the first annual meeting of shareholders after the grant date.
/s/ Eric C. Nelson (attorney-in-fact)
2024-03-13