0001181431-12-032519.txt : 20120524 0001181431-12-032519.hdr.sgml : 20120524 20120524181757 ACCESSION NUMBER: 0001181431-12-032519 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: KEARNEY DANIEL P CENTRAL INDEX KEY: 0001086328 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 12868870 BUSINESS ADDRESS: STREET 1: 13 FLINT STREET STREET 2: X CITY: MARBLEHEAD STATE: MA ZIP: 01945 BUSINESS PHONE: 4143476406 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 rrd346600.xml X0305 4 2012-05-23 0 0000798354 FISERV INC FISV 0001086328 KEARNEY DANIEL P 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2012-05-23 4 A 0 900 0 A 9551 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