0001209191-17-001270.txt : 20170104 0001209191-17-001270.hdr.sgml : 20170104 20170104173948 ACCESSION NUMBER: 0001209191-17-001270 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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: ROBAK KIM M CENTRAL INDEX KEY: 0001264141 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 17507296 MAIL ADDRESS: STREET 1: 530 SOUTH 13TH STREET STREET 2: SUITE 110 CITY: LINCOLN STATE: NE ZIP: 68508 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-12-31 0 0000798354 FISERV INC FISV 0001264141 ROBAK KIM M MUELLER ROBAK, LLC 530 SOUTH 13TH STREET, SUITE 110 LINCOLN NE 68508 1 0 0 0 Deferred Compensation Notional Units 2016-12-31 4 A 0 122 106.28 A Common Stock 122 7479 D These deferred compensation notional units were allocated under the Fiserv, Inc. Non-Employee Director Deferred Compensation Plan (the "Plan"), under which director fees otherwise payable in cash may be deferred in exchange for the allocation of notional units under the Plan. This Form 4 reports the crediting of units under the Plan on December 31, 2016 in respect of $12,875 of deferred compensation. The number of notional units credited is calculated by dividing the amount of compensation that is deferred by the closing price of the company's common stock on the date of deferral, or last business day prior. On December 30, 2016, the closing price of Fiserv's common stock was $106.28 per share. Upon termination of the reporting person's service to the company, each notional unit will be settled in shares of Fiserv common stock on a one-for-one basis. /s/ Lynn S. McCreary (attorney-in-fact) 2017-01-04