0000798354-24-000103.txt : 20240501 0000798354-24-000103.hdr.sgml : 20240501 20240501161052 ACCESSION NUMBER: 0000798354-24-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240430 FILED AS OF DATE: 20240501 DATE AS OF CHANGE: 20240501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simons Doyle CENTRAL INDEX KEY: 0001185922 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 24903094 MAIL ADDRESS: STREET 1: 220 OCCIDENTAL AVENUE SOUTH CITY: SEATTLE STATE: WA ZIP: 98104 FORMER NAME: FORMER CONFORMED NAME: SIMONS DOYLE R DATE OF NAME CHANGE: 20020904 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_1714594239.xml FORM 4 X0508 4 2024-04-30 0 0000798354 FISERV INC FI 0001185922 Simons Doyle 600 N. VEL R. PHILLIPS AVENUE MILWAUKEE WI 53203 1 0 0 0 0 Common Stock 2024-04-30 4 M 0 7096 29.95 A 114212 D Stock Option (right to buy) 29.95 2024-04-30 4 M 0 7096 0 D 2015-05-20 2024-05-28 Common Stock 7096 0 D This option vested in full on May 20, 2015. /s/ Eric C. Nelson (attorney-in-fact) 2024-05-01