0000798354-24-000130.txt : 20240612 0000798354-24-000130.hdr.sgml : 20240612 20240612162643 ACCESSION NUMBER: 0000798354-24-000130 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240611 FILED AS OF DATE: 20240612 DATE AS OF CHANGE: 20240612 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bisignano Frank CENTRAL INDEX KEY: 0001346629 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 241038749 MAIL ADDRESS: STREET 1: 600 N. VEL R. PHILLIPS AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53203 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: 600 N. VEL R. PHILLIPS AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53203 BUSINESS PHONE: 4148795000 MAIL ADDRESS: STREET 1: 600 N. VEL R. PHILLIPS AVENUE CITY: MILWAUKEE STATE: WI ZIP: 53203 4 1 wk-form4_1718223996.xml FORM 4 X0508 4 2024-06-11 0 0000798354 FISERV INC FI 0001346629 Bisignano Frank 600 N. VEL R. PHILLIPS AVENUE MILWAUKEE WI 53203 1 1 0 0 Chairman, President and CEO 0 Common Stock 2024-06-11 4 G 0 470 0 D 3112647 D Common Stock 13640 I By Spouse Common Stock 4809 I See Footnote Common Stock 826 I See Footnote Common Stock 1253 I See Footnote Common Stock 17173 I See Footnote Common Stock 81550 I By Trust These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor. Held by the Frank J. Bisignano 2022 Grantor Retained Annuity Trust. These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children. /s/ Eric C. Nelson (attorney-in-fact) 2024-06-12