0001209191-16-148026.txt : 20161102 0001209191-16-148026.hdr.sgml : 20161102 20161102180214 ACCESSION NUMBER: 0001209191-16-148026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161031 FILED AS OF DATE: 20161102 DATE AS OF CHANGE: 20161102 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: McGranahan Devin CENTRAL INDEX KEY: 0001684853 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 161969280 BUSINESS ADDRESS: BUSINESS PHONE: 412-337-5214 MAIL ADDRESS: STREET 1: 321 MERRIMAN ROAD CITY: SEWICKLEY STATE: PA ZIP: 15143 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-31 0 0000798354 FISERV INC FISV 0001684853 McGranahan Devin 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Group President Common Stock 2016-10-31 4 A 0 10155 0.00 A 10155 D Employee Stock Option (right to buy) 98.48 2016-10-31 4 A 0 68901 0.00 A 2019-10-31 2026-10-31 Common Stock 68901 68901 D One-half of these restricted stock units vest on the third and fourth anniversaries of the grant date. One-half of these options vest on the third and fourth anniversaries of the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2016-11-02