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