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