-----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, Jwkpd/RI6kXAzDPgeWDuy1xelsWB/qxutBnkQ69YUEcDtqw84JGymNU9Qe18Qwd9 zjOjahAkZKuc52eShvU//g== 0001181431-05-026406.txt : 20050506 0001181431-05-026406.hdr.sgml : 20050506 20050506153700 ACCESSION NUMBER: 0001181431-05-026406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050504 FILED AS OF DATE: 20050506 DATE AS OF CHANGE: 20050506 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: NEILL THOMAS A CENTRAL INDEX KEY: 0001201600 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 05807828 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 rrd78016.xml X0202 4 2005-05-04 0 0000798354 FISERV INC FISV 0001201600 NEILL THOMAS A 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 President- CUIP Group Common Stock - $0.01 par value 2005-05-04 4 M 0 9450 20.1389 A 18254 D Common Stock - $0.01 par value 2005-05-04 4 S 0 9450 43.07 D 8804 D Common Stock - $0.01 par value 2005-05-04 4 M 0 25000 21.3333 A 33804 D Common Stock - $0.01 par value 2005-05-04 4 S 0 25000 43.07 D 8804 D Stock option (right to buy) 20.1389 2005-05-04 4 M 0 9450 0 D 1999-02-17 2009-02-17 Common Stock 9450 0 D Stock option (right to buy) 21.3333 2005-05-04 4 M 0 25000 0 D 2000-02-16 2010-02-16 Common Stock 25000 13700 D Includes 1,326 shares acquired under the Fiserv Stock Purchase Plan. Includes 447 shares acquired under the Fiserv 401K Plan. The option vested in 5 equal installments on February 17, 1999, 2000, 2001, 2002, and 2003. The option vested in 5 equal installments on February 16, 2000, 2001, 2002, 2003, and 2004. Thomas J. Hirsch (attorney-in-fact) 2005-05-06 -----END PRIVACY-ENHANCED MESSAGE-----