-----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, FGvEdehbOwoSbjHPGHOWlCkQde3k77JKBiuVTXmahMKH3tJj3wTlS8kKn4npKV3V uwoxjMf1pkiIlEIMqFiJkQ== 0001181431-04-059991.txt : 20041221 0001181431-04-059991.hdr.sgml : 20041221 20041221110742 ACCESSION NUMBER: 0001181431-04-059991 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041217 FILED AS OF DATE: 20041221 DATE AS OF CHANGE: 20041221 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: DILLON DONALD F CENTRAL INDEX KEY: 0000945827 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 041216002 BUSINESS ADDRESS: STREET 1: 1345 OLD CHENEY ROAD CITY: LINCOLN STATE: NE ZIP: 68512 MAIL ADDRESS: STREET 1: 1345 OLD CHENEY RD CITY: LINCOLN STATE: NE ZIP: 68512 4 1 rrd62036.xml X0202 4 2004-12-17 0 0000798354 FISERV INC FISV 0000945827 DILLON DONALD F 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock - $0.01 par value 2004-12-17 4 S 0 50000 39.5043 D 443750 I By Trust Common Stock - $0.01 par value 5454287 D By self as trustee of the Dillon Foundation. Thomas J. Hirsch (attorney-in-fact) 2004-12-21 -----END PRIVACY-ENHANCED MESSAGE-----