0001181431-12-011613.txt : 20120224 0001181431-12-011613.hdr.sgml : 20120224 20120224155638 ACCESSION NUMBER: 0001181431-12-011613 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120222 FILED AS OF DATE: 20120224 DATE AS OF CHANGE: 20120224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ERNST MARK A CENTRAL INDEX KEY: 0001181852 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 12637749 MAIL ADDRESS: STREET 1: ONE H&R BLOCK WAY CITY: KANSAS CITY STATE: MO ZIP: 64105 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 rrd335537.xml X0304 4 2012-02-22 0 0000798354 FISERV INC FISV 0001181852 ERNST MARK A 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 EVP and COO Common Stock 2012-02-22 4 A 0 4980 0 A 20414 D Stock Option (right to buy) 65.27 2012-02-22 4 A 0 45253 0 A 2013-02-22 2022-02-22 Common Stock 45253 45253 D One-third of these restricted stock units vest on the second, third and fourth anniversaries of the grant date. Includes 434 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan. One-third of these options vest on each anniversary of the grant date. /s/ Charles W. Sprague (attorney-in-fact) 2012-02-24