0001181431-12-007332.txt : 20120209 0001181431-12-007332.hdr.sgml : 20120209 20120209172406 ACCESSION NUMBER: 0001181431-12-007332 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120208 FILED AS OF DATE: 20120209 DATE AS OF CHANGE: 20120209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hirsch Thomas J CENTRAL INDEX KEY: 0001368169 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 12588481 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 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 rrd333506.xml X0304 4 2012-02-08 0 0000798354 FISERV INC FISV 0001368169 Hirsch Thomas J 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 EVP;CFO;Treasurer & Asst Sect Common Stock 2012-02-08 4 M 0 5764 41.57 A 35921 D Common Stock 2012-02-08 4 F 0 4456 64.77 D 31465 D Employee Stock Option (right to buy) 41.57 2012-02-08 4 M 0 5764 0 D 2002-02-13 2012-02-13 Common Stock 5764 0 D Includes 398 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan. The option vested in 5 equal installments beginning on February 13, 2002 and was due to expire on February 13, 2012. /s/ Charles W. Sprague (attorney-in-fact) 2012-02-09