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