-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PwZXs9hQ45EULNIBZqjL6LNajL92R2WD5WoyBSHDYP9KXBQchotY7Zz7xp5LWB5m ioFswwlD5woqA0On9l3T/w== 0001181431-03-019654.txt : 20030821 0001181431-03-019654.hdr.sgml : 20030821 20030821091420 ACCESSION NUMBER: 0001181431-03-019654 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030819 FILED AS OF DATE: 20030821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHACKELFORD THEKLA R CENTRAL INDEX KEY: 0001201606 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 03859129 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISERV INC CENTRAL INDEX KEY: 0000798354 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] 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 rrd16425.xml X0201 42003-08-190 0000798354 FISERV INC FISV 0001201606 SHACKELFORD THEKLA R 255 FISERV DRIVE BROOKFIELD 53045 1000Stock Option (right to buy)39.672003-08-194A04030.00A2004-08-192013-08-19Common Stock 403403DExercisable 20% per year commencing on 8/19/2004.Thomas J. Hirsch (attorney-in-fact)2003-08-21 -----END PRIVACY-ENHANCED MESSAGE-----