0001181431-12-060473.txt : 20121126 0001181431-12-060473.hdr.sgml : 20121126 20121126145820 ACCESSION NUMBER: 0001181431-12-060473 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121121 FILED AS OF DATE: 20121126 DATE AS OF CHANGE: 20121126 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: 121224193 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 rrd361307.xml X0306 4 2012-11-21 0 0000798354 FISERV INC FISV 0001086328 KEARNEY DANIEL P 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2012-11-21 4 M 0 520 30.76 A 10071 D Common Stock 2012-11-21 4 S 0 520 74.06 D 9551 D Common Stock 2012-11-21 4 M 0 403 39.67 A 9954 D Common Stock 2012-11-21 4 S 0 403 74.06 D 9551 D Common Stock 2012-11-21 4 M 0 447 35.79 A 9998 D Common Stock 2012-11-21 4 S 0 447 74.06 D 9551 D Common Stock 2012-11-21 4 M 0 413 38.73 A 9964 D Common Stock 2012-11-21 4 S 0 413 74.06 D 9551 D Common Stock 2012-11-21 4 M 0 459 34.80 A 10010 D Common Stock 2012-11-21 4 S 0 459 74.06 D 9551 D Stock Option (right to buy) 30.76 2012-11-21 4 M 0 520 0 D 2004-05-20 2013-05-20 Common Stock 520 0 D Stock Option (right to buy) 39.67 2012-11-21 4 M 0 403 0 D 2004-08-19 2013-08-19 Common Stock 403 0 D Stock Option (right to buy) 35.79 2012-11-21 4 M 0 447 0 D 2004-11-19 2013-11-19 Common Stock 447 0 D Stock Option (right to buy) 38.73 2012-11-21 4 M 0 413 0 D 2005-02-18 2014-02-18 Common Stock 413 0 D Stock Option (right to buy) 34.80 2012-11-21 4 M 0 459 0 D 2005-04-06 2014-04-06 Common Stock 459 0 D The option vested in five equal annual installments beginning May 20, 2004 and is due to expire May 20, 2013. The option vested in five equal annual installments beginning August 19, 2004 and is due to expire August 19, 2013. The option vested in five equal annual installments beginning November 19, 2004 and is due to expire November 19, 2013. The option vested in five equal annual installments beginning February 18, 2005 and is due to expire February 18, 2014. The option vested in five equal annual installments beginning April 06, 2005 and is due to expire April 06, 2014. /s/ Charles W. Sprague (attorney-in-fact) 2012-11-26