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