0001181431-12-047722.txt : 20120828
0001181431-12-047722.hdr.sgml : 20120828
20120828165028
ACCESSION NUMBER: 0001181431-12-047722
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120824
FILED AS OF DATE: 20120828
DATE AS OF CHANGE: 20120828
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DILLON DONALD F
CENTRAL INDEX KEY: 0000945827
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 121060516
MAIL ADDRESS:
STREET 1: 1345 OLD CHENEY RD
CITY: LINCOLN
STATE: NE
ZIP: 68512
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
rrd354479.xml
X0306
4
2012-08-24
0
0000798354
FISERV INC
FISV
0000945827
DILLON DONALD F
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
0
0
0
Common Stock
2012-08-24
4
M
0
30602
30.99
A
1788506
D
Common Stock
2012-08-24
4
S
0
30602
71.00
D
1757904
D
Common Stock
2012-08-27
4
M
0
200
30.99
A
1758104
D
Common Stock
2012-08-27
4
S
0
200
71.00
D
1757904
D
Common Stock
133750
I
By Trust
Stock Option (right to buy)
30.99
2012-08-24
4
M
0
30602
0
D
2003-02-11
2013-02-11
Common Stock
30602
126732
D
Stock Option (right to buy)
30.99
2012-08-27
4
M
0
200
0
D
2003-02-11
2013-02-11
Common Stock
200
126532
D
By the Dillon Foundation of which Mr. Dillon serves as a trustee.
The option vested in 5 equal annual installments beginning February 11, 2003 and is due to expire February 11, 2013.
The option vested in 5 equal annual installments beginning February 11, 2003 and is due to expire February 11, 2013.
/s/ Thomas J. Hirsch (attorney-in-fact)
2012-08-28