0001181431-12-011606.txt : 20120224 0001181431-12-011606.hdr.sgml : 20120224 20120224155317 ACCESSION NUMBER: 0001181431-12-011606 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120222 FILED AS OF DATE: 20120224 DATE AS OF CHANGE: 20120224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Warsop Thomas W III CENTRAL INDEX KEY: 0001384334 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 12637725 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISERV INC CENTRAL INDEX KEY: 0000798354 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] 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 rrd335597.xml X0304 4 2012-02-22 0 0000798354 FISERV INC FISV 0001384334 Warsop Thomas W III 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 EVP, Group President Common Stock 2012-02-22 4 A 0 3758 0 A 37742 D Stock Option (right to buy) 65.27 2012-02-22 4 A 0 34149 0 A 2013-02-22 2022-02-22 Common Stock 34149 34149 D One-third of these restricted stock units vest on the second, third and fourth anniversaries of the grant date. One-third of these options vest on each anniversary of the grant date. /s/ Charles W. Sprague (attorney-in-fact) 2012-02-24