0001209191-22-010220.txt : 20220216 0001209191-22-010220.hdr.sgml : 20220216 20220216164433 ACCESSION NUMBER: 0001209191-22-010220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220215 FILED AS OF DATE: 20220216 DATE AS OF CHANGE: 20220216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foskett Christopher M CENTRAL INDEX KEY: 0001473587 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 22644217 MAIL ADDRESS: STREET 1: C/O VERISK ANALYTICS, INC. STREET 2: 545 WASHINGTON BOULEVARD CITY: JERSEY CITY STATE: NJ ZIP: 07310-1686 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISERV INC CENTRAL INDEX KEY: 0000798354 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] 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 2022-02-15 0 0000798354 FISERV INC FISV 0001473587 Foskett Christopher M 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Revenue Officer Common Stock 2022-02-15 4 F 0 3774 97.07 D 88092 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Eric C. Nelson (attorney-in-fact) 2022-02-16