0001209191-15-082062.txt : 20151124 0001209191-15-082062.hdr.sgml : 20151124 20151124180053 ACCESSION NUMBER: 0001209191-15-082062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151123 FILED AS OF DATE: 20151124 DATE AS OF CHANGE: 20151124 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: 151253833 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-11-23 0 0000798354 FISERV INC FISV 0001368169 Hirsch Thomas J 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Financial Officer Common Stock 2015-11-23 4 M 0 33320 23.85 A 101316 D Common Stock 2015-11-23 4 F 0 20672 96.64 D 80644 D Common Stock 2015-11-23 4 S 0 18554 96.42 D 62090 D Employee Stock Option (right to buy) 23.85 2015-11-23 4 M 0 33320 0.00 D 2011-02-24 2020-02-24 Common Stock 33320 0 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 $96.36 to $96.61. 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 three equal installments on each anniversary of the grant date, February 24, 2010. /s/ Lynn S. McCreary (attorney-in-fact) 2015-11-24