0001209191-16-101620.txt : 20160223 0001209191-16-101620.hdr.sgml : 20160223 20160223192604 ACCESSION NUMBER: 0001209191-16-101620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160219 FILED AS OF DATE: 20160223 DATE AS OF CHANGE: 20160223 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUPTA RAHUL CENTRAL INDEX KEY: 0001231126 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 161450133 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-19 0 0000798354 FISERV INC FISV 0001231126 GUPTA RAHUL 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Group President Common Stock 2016-02-19 4 A 0 1294 0.00 A 89179 D Common Stock 2016-02-19 4 F 0 743 96.65 D 88436 D Common Stock 2016-02-20 4 F 0 5931 96.65 D 82505 D Common Stock 2016-02-22 4 F 0 1394 97.92 D 81111 D Employee Stock Option (right to buy) 96.65 2016-02-19 4 A 0 11970 0.00 A 2017-02-19 2026-02-19 Common Stock 11970 11970 D One-third of these restricted stock units vest on the second, third and fourth anniversaries of the grant date. Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. One-third of these options vest on each anniversary of the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2016-02-23