0001209191-17-013432.txt : 20170222 0001209191-17-013432.hdr.sgml : 20170222 20170222172940 ACCESSION NUMBER: 0001209191-17-013432 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170217 FILED AS OF DATE: 20170222 DATE AS OF CHANGE: 20170222 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: KEARNEY DANIEL P CENTRAL INDEX KEY: 0001086328 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 17629691 BUSINESS ADDRESS: STREET 1: 1550 NORTH STATE PARKWAY STREET 2: SUITE 1002 CITY: CHICAGO STATE: IL ZIP: 606010 BUSINESS PHONE: 312-943-7825 MAIL ADDRESS: STREET 1: 1550 NORTH STATE PARKWAY STREET 2: APT.1002 CITY: CHICAGO STATE: IL ZIP: 60610 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-17 0 0000798354 FISERV INC FISV 0001086328 KEARNEY DANIEL P 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2017-02-17 4 M 0 7658 20.68 A 27998 D Common Stock 2017-02-17 4 S 0 7658 111.05 D 20340 D Common Stock 3400 I By Trust Stock Option (right to buy) 20.68 2017-02-17 4 M 0 7658 0.00 D 2010-05-20 2019-05-20 Common Stock 7658 0 D This transaction was executed in multiple trades at prices ranging from $110.99 to $111.11. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. By the Daniel and Gloria Kearney Foundation of which Mr. Kearney serves as trustee. This option vested in full on May 20, 2010. /s/ Lynn S. McCreary (attorney-in-fact) 2017-02-22