0001181431-12-032509.txt : 20120524
0001181431-12-032509.hdr.sgml : 20120524
20120524181636
ACCESSION NUMBER: 0001181431-12-032509
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120523
FILED AS OF DATE: 20120524
DATE AS OF CHANGE: 20120524
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SIMONS DOYLE R
CENTRAL INDEX KEY: 0001185922
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 12868861
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
rrd346625.xml
X0305
4
2012-05-23
0
0000798354
FISERV INC
FISV
0001185922
SIMONS DOYLE R
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
0
0
0
Common Stock
2012-05-23
4
A
0
900
0
A
6404
D
Stock Option (right to buy)
66.70
2012-05-23
4
A
0
2726
0
A
2022-05-23
Common Stock
2726
2726
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.
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/ Thomas J. Hirsch (attorney-in-fact)
2012-05-24