0000798354-24-000150.txt : 20240716 0000798354-24-000150.hdr.sgml : 20240716 20240716161737 ACCESSION NUMBER: 0000798354-24-000150 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240715 FILED AS OF DATE: 20240716 DATE AS OF CHANGE: 20240716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chiarello Guy CENTRAL INDEX KEY: 0001654667 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 241119847 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_1721161050.xml FORM 4 X0508 4 2024-07-15 0 0000798354 FISERV INC FI 0001654667 Chiarello Guy 600 N. VEL R. PHILLIPS AVENUE MILWAUKEE WI 53203 0 1 0 0 Chief Operating Officer 1 Common Stock 2024-07-15 4 M 0 24000 52.81 A 187699 D Common Stock 2024-07-15 4 S 0 10813 154.67 D 176886 D Common Stock 2024-07-15 4 S 0 13187 155.01 D 163699 D Common Stock 37381 I By Trust Employee Stock Option (right to buy) 52.81 2024-07-15 4 M 0 24000 0 D 2019-07-29 2025-10-15 Common Stock 24000 24000 D This option exercise and sale was effected pursuant to a Rule 10b5-1 trading plan entered into by the reporting person on December 15, 2023, for estate and financial planning purposes. This transaction was executed in multiple trades at prices ranging from $153.85 to $154.84. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. This transaction was executed in multiple trades at prices ranging from $154.85 to $155.20. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected. Held by The Denise Chiarello 2021 Trust for the benefit of the reporting person and the reporting person's children and of which the reporting person serves as trustee. This option vested 25% on each of December 31, 2017, and December 31, 2018, and 50% on July 29, 2019. /s/ Eric C. Nelson (attorney-in-fact) 2024-07-16