0001209191-18-021145.txt : 20180321 0001209191-18-021145.hdr.sgml : 20180321 20180321180622 ACCESSION NUMBER: 0001209191-18-021145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180319 FILED AS OF DATE: 20180321 DATE AS OF CHANGE: 20180321 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YABUKI JEFFERY W CENTRAL INDEX KEY: 0001207371 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 18705345 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 doc4.xml FORM 4 SUBMISSION X0306 4 2018-03-19 0 0000798354 FISERV INC FISV 0001207371 YABUKI JEFFERY W 255 FISERV DRIVE BROOKFIELD WI 53045 1 1 0 0 President and CEO Common Stock 2018-03-19 4 S 0 24000 73.27 D 727030 D Common Stock 2018-03-19 4 S 0 10000 73.80 D 717030 D Common Stock 236428 I By Trust Stock Option (right to buy) 69.90 2019-02-21 2028-02-21 Common Stock 178572 178572 D Stock Option (right to buy) 56.91 2018-02-22 2027-02-22 Common Stock 186818 186818 D Stock Option (right to buy) 48.33 2017-02-19 2026-02-19 Common Stock 275776 275776 D Stock Option (right to buy) 39.53 2016-02-18 2025-02-18 Common Stock 412992 412992 D Stock Option (right to buy) 28.49 2015-02-19 2024-02-19 Common Stock 503140 503140 D Stock Option (right to buy) 20.18 2014-02-20 2023-02-20 Common Stock 634376 634376 D Stock Option (right to buy) 16.32 2013-02-22 2022-02-22 Common Stock 482700 482700 D Stock Option (right to buy) 15.43 2012-02-23 2021-02-23 Common Stock 658380 658380 D Stock Option (right to buy) 11.93 2011-02-24 2020-02-24 Common Stock 777652 777652 D This sale was effected pursuant to a Rule 10b5-1 trading plan which was entered into by the reporting person for estate and financial planning purposes. Adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed at the close of business on March 19, 2018 to holders of record on March 5, 2018. This transaction was executed in multiple trades at prices ranging from $72.86 to $73.57 as adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed at the close of business on March 19, 2018 to holders of record on March 5, 2018. The price reported above reflects the weighted average sale price as adjusted to reflect this stock split. 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. This transaction was executed in multiple trades at prices ranging from $73.62 to $74.04 as adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed at the close of business on March 19, 2018 to holders of record on March 5, 2018. The price reported above reflects the weighted average sale price as adjusted to reflect this stock split. 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 Yabuki Family Foundation of which Mr. Yabuki serves as trustee. One-third of these options vest on each anniversary of the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2018-03-21