0001209191-17-023776.txt : 20170331 0001209191-17-023776.hdr.sgml : 20170331 20170331062606 ACCESSION NUMBER: 0001209191-17-023776 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170328 FILED AS OF DATE: 20170331 DATE AS OF CHANGE: 20170331 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: Gregoire Kevin P. CENTRAL INDEX KEY: 0001601818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14948 FILM NUMBER: 17727921 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-28 0 0000798354 FISERV INC FISV 0001601818 Gregoire Kevin P. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Group President Common Stock 2017-03-28 4 F 0 592 115.79 D 36789 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Lynn S. McCreary (attorney-in-fact) 2017-03-30