0001209191-16-101631.txt : 20160223
0001209191-16-101631.hdr.sgml : 20160223
20160223193750
ACCESSION NUMBER: 0001209191-16-101631
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160219
FILED AS OF DATE: 20160223
DATE AS OF CHANGE: 20160223
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: Schultz Kevin J
CENTRAL INDEX KEY: 0001341409
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 161450181
MAIL ADDRESS:
STREET 1: 10 GLENLAKE PARKWAY
STREET 2: NORTH TOWER
CITY: WOODSTOCK
STATE: GA
ZIP: 30328
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-02-19
0
0000798354
FISERV INC
FISV
0001341409
Schultz Kevin J
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Group President
Common Stock
2016-02-19
4
A
0
1294
0.00
A
7523
D
Employee Stock Option (right to buy)
96.65
2016-02-19
4
A
0
11970
0.00
A
2017-02-19
2026-02-19
Common Stock
11970
11970
D
One-third of these restricted stock units vest on the second, third and fourth anniversaries of the grant date.
Includes 144 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan.
One-third of these options vest on each anniversary of the grant date.
/s/ Lynn S. McCreary (attorney-in-fact)
2016-02-23