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