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