0001181431-13-008745.txt : 20130212
0001181431-13-008745.hdr.sgml : 20130212
20130212180549
ACCESSION NUMBER: 0001181431-13-008745
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121231
FILED AS OF DATE: 20130212
DATE AS OF CHANGE: 20130212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WERTHEIMER THOMAS C
CENTRAL INDEX KEY: 0001235116
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 13598717
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
5
1
rrd369725.xml
X0306
5
2012-12-31
0
0
0
0000798354
FISERV INC
FISV
0001235116
WERTHEIMER THOMAS C
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
0
0
0
Common Stock
2012-09-10
5
G
0
200
0
D
12270
D
Common Stock
2012-11-08
5
G
0
10970
0
D
1300
D
/s/ Charles W. Sprague (attorney-in-fact)
2013-02-12