0000798354-24-000083.txt : 20240321 0000798354-24-000083.hdr.sgml : 20240321 20240321164045 ACCESSION NUMBER: 0000798354-24-000083 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240320 FILED AS OF DATE: 20240321 DATE AS OF CHANGE: 20240321 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: 24771943 MAIL ADDRESS: STREET 1: 600 N. VEL R. PHILLIPS AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53203 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_1711053633.xml FORM 4 X0508 4 2024-03-20 0 0000798354 FISERV INC FI 0001654667 Chiarello Guy 600 N. VEL R. PHILLIPS AVENUE MILWAUKEE WI 53203 0 1 0 0 Chief Operating Officer 0 Common Stock 2024-03-20 4 M 0 63646 52.81 A 227345 D Common Stock 2024-03-20 4 S 0 63646 154 D 163699 D Common Stock 37381 I By Trust Employee Stock Option (right to buy) 52.81 2024-03-20 4 M 0 63646 0 D 2019-07-29 2025-10-15 Common Stock 63646 96000 D This transaction was executed in multiple trades at prices ranging from $153.43 to $154.20. 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. 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. This option vested (i) half in equal portions on each of December 31, 2017 and 2018, and (ii) half on July 29, 2019, upon the Issuer's acquisition of First Data Corporation. /s/ Eric C. Nelson (attorney-in-fact) 2024-03-21