-----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, APg1FeP70zqEgo0NHC6hQXbdQy58XPlRARVse7eBjVC1162Oc0SQkcq/f3Q1QYgd tQZ23Rk2aSqNIaaG/AswYg== 0001181431-05-001562.txt : 20050105 0001181431-05-001562.hdr.sgml : 20050105 20050105163907 ACCESSION NUMBER: 0001181431-05-001562 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050105 DATE AS OF CHANGE: 20050105 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 05513102 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 5 1 rrd63413.xml X0202 5 2004-12-31 0 0 0 0000798354 FISERV INC FISV 0001158373 JENSEN KENNETH R 255 FISERV DRIVE BROOKFIELD WI 53045 1 1 0 0 SEVP & CFO Common Stock - $0.01 par value 2004-01-05 5 G 0 400 0.0 D 493368 D Thomas J. Hirsch (attorney in fact) 2005-01-05 -----END PRIVACY-ENHANCED MESSAGE-----