0001181431-15-007316.txt : 20150521 0001181431-15-007316.hdr.sgml : 20150521 20150521175633 ACCESSION NUMBER: 0001181431-15-007316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150520 FILED AS OF DATE: 20150521 DATE AS OF CHANGE: 20150521 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 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: 15883927 BUSINESS ADDRESS: STREET 1: 1550 NORTH STATE PARKWAY STREET 2: SUITE 1002 CITY: CHICAGO STATE: IL ZIP: 606010 BUSINESS PHONE: 312-943-7825 MAIL ADDRESS: STREET 1: 1550 NORTH STATE PARKWAY STREET 2: APT.1002 CITY: CHICAGO STATE: IL ZIP: 60610 4 1 rrd425095.xml X0306 4 2015-05-20 0 0000798354 FISERV INC FISV 0001086328 KEARNEY DANIEL P 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2015-05-20 4 A 0 1061 0 A 19500 D Common Stock 3400 I By Trust Stock Option (right to buy) 81.11 2015-05-20 4 A 0 3297 0 A 2025-05-20 Common Stock 3297 3297 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. By the Daniel and Gloria Kearney Foundation of which Mr. Kearney serves as trustee. 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/ Lynn S. McCreary (attorney-in-fact) 2015-05-21