0001209191-17-014422.txt : 20170224 0001209191-17-014422.hdr.sgml : 20170224 20170224171339 ACCESSION NUMBER: 0001209191-17-014422 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170222 FILED AS OF DATE: 20170224 DATE AS OF CHANGE: 20170224 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: ERNST MARK A CENTRAL INDEX KEY: 0001181852 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 17638411 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-22 0 0000798354 FISERV INC FISV 0001181852 ERNST MARK A 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Operating Officer Employee Stock Option (right to buy) 113.82 2017-02-22 4 A 0 37635 0.00 A 2018-02-22 2027-02-22 Common Stock 37635 37635 D One-third of these options vest on each anniversary of the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2017-02-24