0001209191-16-121800.txt : 20160519 0001209191-16-121800.hdr.sgml : 20160519 20160519173758 ACCESSION NUMBER: 0001209191-16-121800 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160518 FILED AS OF DATE: 20160519 DATE AS OF CHANGE: 20160519 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: SIMONS DOYLE R CENTRAL INDEX KEY: 0001185922 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 161664141 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-05-18 0 0000798354 FISERV INC FISV 0001185922 SIMONS DOYLE R 255 FISERV DRIVE BROOKFIELD WI 53045 1 0 0 0 Common Stock 2016-05-18 4 A 0 840 0.00 A 17446 D Stock Option (right to buy) 102.46 2016-05-18 4 A 0 2589 0.00 A 2026-05-18 Common Stock 2589 2589 D These restricted stock units each represent a contingent right to receive one share of Fiserv common stock. The restricted stock units vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. These options vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2016-05-19