0000798354-24-000145.txt : 20240702 0000798354-24-000145.hdr.sgml : 20240702 20240702160911 ACCESSION NUMBER: 0000798354-24-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240630 FILED AS OF DATE: 20240702 DATE AS OF CHANGE: 20240702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gopal Ajei CENTRAL INDEX KEY: 0001302712 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 241095241 MAIL ADDRESS: STREET 1: CA, INC. STREET 2: ONE CA PLAZA CITY: ISLANDIA STATE: NY ZIP: 11749 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_1719950944.xml FORM 4 X0508 4 2024-06-30 0 0000798354 FISERV INC FI 0001302712 Gopal Ajei 600 N. VEL R. PHILLIPS AVENUE MILWAUKEE WI 53203 1 0 0 0 0 Deferred Compensation Notional Units 2024-06-30 4 A 0 192 149.04 A Common Stock 192 192 D These deferred compensation notional units were allocated under the Fiserv, Inc. Non-Employee Director Deferred Compensation Plan (the "Plan"), under which director fees otherwise payable in cash may be deferred in exchange for the allocation of notional units under the Plan. This Form 4 reports the crediting of units under the Plan on June 30, 2024, in respect of $28,571.43 of deferred compensation. The number of notional units credited is calculated by dividing the amount of compensation that is deferred by the closing price of the company's common stock on the date of deferral, or last business day prior. On June 28, 2024, the closing price of Fiserv's common stock was $149.04 per share. Following cessation of the reporting person's service to the company, each notional unit will be settled in shares of Fiserv common stock on a one-for-one basis. /s/ Eric C. Nelson (attorney-in-fact) 2024-07-02