0000798354-24-000050.txt : 20240223
0000798354-24-000050.hdr.sgml : 20240223
20240223174427
ACCESSION NUMBER: 0000798354-24-000050
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240221
FILED AS OF DATE: 20240223
DATE AS OF CHANGE: 20240223
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosman Adam L.
CENTRAL INDEX KEY: 0001549373
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 24672876
MAIL ADDRESS:
STREET 1: 200 LIBERTY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10281
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_1708728255.xml
FORM 4
X0508
4
2024-02-21
0
0000798354
FISERV INC
FI
0001549373
Rosman Adam L.
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Admin. and Legal Officer
0
Common Stock
2024-02-21
4
A
0
10851
0
A
52488
D
Common Stock
2024-02-22
4
F
0
1749
150.11
D
50739
D
One-third of these restricted stock units vest on each anniversary of the grant date.
Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
/s/ Eric C. Nelson (attorney-in-fact)
2024-02-23