0001209191-15-078461.txt : 20151104
0001209191-15-078461.hdr.sgml : 20151104
20151104165305
ACCESSION NUMBER: 0001209191-15-078461
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151102
FILED AS OF DATE: 20151104
DATE AS OF CHANGE: 20151104
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: Hirsch Thomas J
CENTRAL INDEX KEY: 0001368169
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 151197653
MAIL ADDRESS:
STREET 1: 255 FISERV DRIVE
CITY: BROOKFIELD
STATE: WI
ZIP: 53045
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-11-02
0
0000798354
FISERV INC
FISV
0001368169
Hirsch Thomas J
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Financial Officer
Common Stock
2015-11-02
4
M
0
25000
27.35
A
92996
D
Common Stock
2015-11-02
4
F
0
15961
96.80
D
77035
D
Common Stock
2015-11-02
4
M
0
38740
27.11
A
115775
D
Common Stock
2015-11-02
4
F
0
24680
96.859
D
91095
D
Common Stock
2015-11-02
4
M
0
48424
27.11
A
139519
D
Common Stock
2015-11-02
4
F
0
30848
96.89
D
108671
D
Common Stock
2015-11-02
4
M
0
88248
16.37
A
196919
D
Common Stock
2015-11-02
4
F
0
51286
96.89
D
145633
D
Common Stock
2015-11-02
4
M
0
50000
23.85
A
195633
D
Common Stock
2015-11-02
4
F
0
31009
96.81
D
164624
D
Common Stock
2015-11-02
4
S
0
96628
96.66
D
67996
D
Employee Stock Option (right to buy)
27.35
2015-11-02
4
M
0
25000
0.00
D
2007-02-23
2017-02-23
Common Stock
25000
0
D
Employee Stock Option (right to buy)
27.11
2015-11-02
4
M
0
38740
0.00
D
2011-02-27
2018-02-27
Common Stock
38740
0
D
Employee Stock Option (right to buy)
27.11
2015-11-02
4
M
0
48424
0.00
D
2009-02-27
2018-02-27
Common Stock
48424
0
D
Employee Stock Option (right to buy)
16.37
2015-11-02
4
M
0
88248
0.00
D
2010-02-26
2019-02-26
Common Stock
88248
0
D
Employee Stock Option (right to buy)
23.85
2015-11-02
4
M
0
50000
0.00
D
2011-02-24
2020-02-24
Common Stock
50000
33320
D
Transactions reported herein are for estate and financial planning purposes in anticipation of previously announced retirement on March 31, 2016.
Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
This transaction was executed in multiple trades at prices ranging from $96.30 to $96.89. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This option vested in five equal installments on the grant date, February 23, 2007, and on each anniversary of the grant date.
This option vested in three equal installments on each anniversary of the grant date, February 27, 2008.
This option vested in three equal installments on each anniversary of the grant date, February 26, 2009.
This option, representing a right to purchase a total of 83,320 shares, vested in three equal installments on each anniversary of the grant date, February 24, 2010.
/s/ Thomas J. Hirsch
2015-11-03