1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
FISERV INC
[ FISV ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
3. Date of Earliest Transaction
(Month/Day/Year) 06/10/2022
|
4. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, FOURTH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
1. Name and Address of Reporting Person*
ONE LETTERMAN DRIVE |
BUILDING D, 4TH FLOOR |
(Street)
Relationship of Reporting Person(s) to Issuer
X |
Director |
|
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
|
|
|
See Remarks |
|
|
VALUEACT HOLDINGS, L.P., By: VALUEACT HOLDINGS GP, LLC, its General Partner, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VALUEACT CAPITAL MASTER FUND, L.P., By: VA PARTNERS I, LLC, its General Partner, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VA PARTNERS I, LLC, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VALUEACT CAPITAL MANAGEMENT, L.P., By: VALUEACT CAPITAL MANAGEMENT, LLC, its General Partner, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VALUEACT CAPITAL MANAGEMENT, LLC, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VALUEACT HOLDINGS II, L.P., By: VALUEACT HOLDINGS GP, LLC, its General Partner, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
VALUEACT HOLDINGS GP, LLC, By: /s/ Jason B. Breeding, Authorized Signatory |
06/14/2022 |
|
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |