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