0001181431-13-030307.txt : 20130523 0001181431-13-030307.hdr.sgml : 20130523 20130523182707 ACCESSION NUMBER: 0001181431-13-030307 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130522 FILED AS OF DATE: 20130523 DATE AS OF CHANGE: 20130523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WERTHEIMER THOMAS C CENTRAL INDEX KEY: 0001235116 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 13869751 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 rrd381025.xml X0306 4 2013-05-22 0 0000798354 FISERV INC FISV 0001235116 WERTHEIMER THOMAS C 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2013-05-22 4 A 0 784 0 A 2084 D Stock Option (right to buy) 89.35 2013-05-22 4 A 0 2516 0 A 2023-05-22 Common Stock 2516 2516 D These restricted stock units each represent a contingent right to receive one share of Fiserv common stock. The restricted stock units vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. These options vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. /s/ Charles W. Sprague (attorney-in-fact) 2013-05-23