0001209191-22-043946.txt : 20220802
0001209191-22-043946.hdr.sgml : 20220802
20220802172259
ACCESSION NUMBER: 0001209191-22-043946
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220731
FILED AS OF DATE: 20220802
DATE AS OF CHANGE: 20220802
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: 221129935
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
2022-07-31
0
0000798354
FISERV INC
FISV
0001473587
Foskett Christopher M
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Revenue Officer
Common Stock
2022-07-31
4
A
0
28795
0.00
A
118989
D
Common Stock
2022-07-31
4
F
0
15895
105.68
D
103094
D
Reflects the issuance of shares on July 31, 2022, upon the vesting of performance share units granted on August 1, 2019.
Reflects payment of tax liability by withholding securities incident to vesting of performance share units.
/s/ Eric C. Nelson (attorney-in-fact)
2022-08-02