0001181431-12-049362.txt : 20120907 0001181431-12-049362.hdr.sgml : 20120907 20120907181559 ACCESSION NUMBER: 0001181431-12-049362 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120906 FILED AS OF DATE: 20120907 DATE AS OF CHANGE: 20120907 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: 121081228 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 rrd355465.xml X0306 4 2012-09-06 0 0000798354 FISERV INC FISV 0001086328 KEARNEY DANIEL P 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2012-09-06 4 M 0 400 30.99 A 9951 D Common Stock 2012-09-06 4 S 0 400 72.00 D 9551 D Common Stock 2012-09-06 4 M 0 12400 32.73 A 21951 D Common Stock 2012-09-06 4 S 0 12400 72.00 D 9551 D Stock Option (right to buy) 30.99 2012-09-06 4 M 0 400 0 D 2004-02-11 2013-02-11 Common Stock 400 0 D Stock Option (right to buy) 32.73 2012-09-06 4 M 0 12400 0 D 2004-04-03 2013-04-03 Common Stock 12400 0 D The option vested in five equal annual installments beginning February 11, 2004 and is due to expire February 11, 2013. The option vested in five equal annual installments beginning April 03, 2004 and is due to expire April 03, 2013. /s/ Charles W. Sprague (attorney-in-fact) 2012-09-07