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