0001209191-22-049704.txt : 20220913
0001209191-22-049704.hdr.sgml : 20220913
20220913164211
ACCESSION NUMBER: 0001209191-22-049704
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220912
FILED AS OF DATE: 20220913
DATE AS OF CHANGE: 20220913
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DiSimone Harry
CENTRAL INDEX KEY: 0001732108
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 221241212
MAIL ADDRESS:
STREET 1: 18 HICKORY DRIVE
CITY: OLD BROOKVILLE
STATE: NY
ZIP: 11545
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
2022-09-12
0
0000798354
FISERV INC
FISV
0001732108
DiSimone Harry
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
0
0
0
Common Stock
12947
D
Common Stock
2022-09-12
4
S
0
2706
108.72
D
0
I
By Trust
Held by the Harry DiSimone 2021 Irrevocable Exemption Trust for the benefit of family members of the reporting person and of which such family members serve as trustee.
/s/ Eric C. Nelson (attorney-in-fact)
2022-09-13