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