0000798354-24-000016.txt : 20240131 0000798354-24-000016.hdr.sgml : 20240131 20240131175847 ACCESSION NUMBER: 0000798354-24-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240129 FILED AS OF DATE: 20240131 DATE AS OF CHANGE: 20240131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foskett Christopher M CENTRAL INDEX KEY: 0001473587 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 24584222 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] 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 wk-form4_1706741918.xml FORM 4 X0508 4 2024-01-29 0 0000798354 FISERV INC FI 0001473587 Foskett Christopher M 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Vice Chairman 0 Common Stock 2024-01-29 4 F 0 1665 142.91 D 96000 D Common Stock 2024-01-29 4 A 0 8273 0 A 104273 D Common Stock 2024-01-29 4 F 0 4108 142.91 D 100165 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. Reflects the issuance of shares on January 29, 2024, upon the vesting of performance share units granted on January 29, 2021. Reflects payment of tax liability by withholding securities incident to vesting of performance share units. /s/ Eric C. Nelson (attorney-in-fact) 2024-01-31