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