0001181431-11-032977.txt : 20110526 0001181431-11-032977.hdr.sgml : 20110526 20110526180250 ACCESSION NUMBER: 0001181431-11-032977 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110525 FILED AS OF DATE: 20110526 DATE AS OF CHANGE: 20110526 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: 11875559 MAIL ADDRESS: STREET 1: 1345 OLD CHENEY RD CITY: LINCOLN STATE: NE ZIP: 68512 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 rrd313402.xml X0303 4 2011-05-25 0 0000798354 FISERV INC FISV 0000945827 DILLON DONALD F 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2011-05-25 4 A 0 959 0 A 1757004 D Common Stock 133750 I By Trust Stock Option (right to buy) 62.59 2011-05-25 4 A 0 2597 0 A 2021-05-25 Common Stock 2597 2597 D These restricted stock units each represent a contingent right to receive one share of Fiserv common stock. The restricted stock units vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. By the Dillon Foundation of which Mr. Dillon serves as trustee. These options vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. /s/ Charles W. Sprague (attorney-in-fact) 2011-05-26