0001209191-16-104110.txt : 20160301 0001209191-16-104110.hdr.sgml : 20160301 20160301174816 ACCESSION NUMBER: 0001209191-16-104110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160226 FILED AS OF DATE: 20160301 DATE AS OF CHANGE: 20160301 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: Gregoire Kevin P. CENTRAL INDEX KEY: 0001601818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 161474786 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-26 0 0000798354 FISERV INC FISV 0001601818 Gregoire Kevin P. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Group President Common Stock 2016-02-26 4 M 0 5202 27.11 A 47161 D Common Stock 2016-02-26 4 S 0 5202 98.55 D 41959 D Employee Stock Option (right to buy) 27.11 2016-02-26 4 M 0 5202 0.00 D 2009-02-27 2018-02-27 Common Stock 5202 0 D This transaction was executed in multiple trades at prices ranging from $98.53 to $98.57. 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 27, 2008. /s/ Lynn S. McCreary (attorney-in-fact) 2016-03-01