-----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, WFtl8lATC+7YNSHgwoblKz13i4U0wzORHo82FV+u9wZza1Qa17+dajvQs7qrgOcq SJAOEk73ftipV6tEUF0UqA== 0001181431-04-011261.txt : 20040220 0001181431-04-011261.hdr.sgml : 20040220 20040220182823 ACCESSION NUMBER: 0001181431-04-011261 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040218 FILED AS OF DATE: 20040220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BALTHASAR NORMAN J CENTRAL INDEX KEY: 0001201590 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 04620417 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 rrd34078.xml X0201 4 2004-02-18 0 0000798354 FISERV INC FISV 0001201590 BALTHASAR NORMAN J 255 FISERV DR BROOKFIELD WI 53045 0 1 0 0 SEVP & COO Stock option (right to buy) 38.73 2004-02-18 4 A 0 111629 0 A 2004-02-18 2014-02-18 Common Stock 111629 111629 D Exercisable 20% per year commencing 2/18/2004 Thomas J. Hirsch (attorney in fact) 2004-02-20 -----END PRIVACY-ENHANCED MESSAGE-----