0001209191-23-059780.txt : 20231227 0001209191-23-059780.hdr.sgml : 20231227 20231227161936 ACCESSION NUMBER: 0001209191-23-059780 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231226 FILED AS OF DATE: 20231227 DATE AS OF CHANGE: 20231227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hau Robert W. CENTRAL INDEX KEY: 0001473856 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 231518189 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-BUSINESS SERVICES, NEC [7389] ORGANIZATION NAME: 07 Trade & Services 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 X0508 4 2023-12-26 0 0000798354 FISERV INC FI 0001473856 Hau Robert W. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Financial Officer 1 Common Stock 2023-12-26 4 M 0 188088 49.21 A 321579 D Common Stock 2023-12-26 4 S 0 188088 132.77 D 133491 D Employee Stock Option (right to buy) 49.21 2023-12-26 4 M 0 188088 0.00 D 2020-03-14 2026-03-14 Common Stock 188088 0 D This option exercise and sale was effected pursuant to a Rule 10b5-1 trading plan entered into on September 22, 2023, by the reporting person for estate and financial planning purposes. This transaction was executed in multiple trades at prices ranging from $132.39 to $133.39. The price reported above reflects the weighted average sale price. 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 option vested in two equal installments on each of March 14, 2019, and March 14, 2020. /s/ Eric C. Nelson (attorney-in-fact) 2023-12-27