-----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, E7E72wHOZ75y1p7zBpy77MmAbgqtihPCtzczGJPb8KDhi2qdUQsM1fN1Q0LifESo tiY4j2nUJ1LNqCTxqsHIdA== 0001181431-03-036838.txt : 20031219 0001181431-03-036838.hdr.sgml : 20031219 20031219151837 ACCESSION NUMBER: 0001181431-03-036838 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031215 FILED AS OF DATE: 20031219 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENSEN KENNETH R CENTRAL INDEX KEY: 0001158373 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 031065050 BUSINESS ADDRESS: STREET 1: 17566 WATERVIEW PARKWAY CITY: DALLAS STATE: TX ZIP: 75252 BUSINESS PHONE: 9723485301 MAIL ADDRESS: STREET 1: 17655 WATERVIEW PARKWAY CITY: DALLAS STATE: TX ZIP: 75252 4 1 rrd26157.xml X0201 42003-12-150 0000798354 FISERV INC FISV 0001158373 JENSEN KENNETH R 255 FISERV DRIVE BROOKFIELD WI 53045 1100SEVP & CFOCommon Stock - $0.01 par value2003-12-155G01200.00D531004DCommon Stock - $0.01 par value2003-12-165G050600D525944DThomas J. Hirsch (attorney in fact)2003-12-19 -----END PRIVACY-ENHANCED MESSAGE-----