0001209191-19-012228.txt : 20190221
0001209191-19-012228.hdr.sgml : 20190221
20190221175803
ACCESSION NUMBER: 0001209191-19-012228
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190219
FILED AS OF DATE: 20190221
DATE AS OF CHANGE: 20190221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schultz Kevin J
CENTRAL INDEX KEY: 0001341409
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14948
FILM NUMBER: 19623226
MAIL ADDRESS:
STREET 1: 10 GLENLAKE PARKWAY
STREET 2: NORTH TOWER
CITY: WOODSTOCK
STATE: GA
ZIP: 30328
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-02-19
0
0000798354
FISERV INC
FISV
0001341409
Schultz Kevin J
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
EVP & President International
Common Stock
2019-02-19
4
F
0
276
85.62
D
9077
D
Employee Stock Option (right to buy)
69.90
2019-02-21
2028-02-21
Common Stock
26786
26786
D
Employee Stock Option (right to buy)
56.91
2018-02-22
2027-02-22
Common Stock
10754
10754
D
Employee Stock Option (right to buy)
48.33
2017-02-19
2026-02-19
Common Stock
23940
23940
D
Employee Stock Option (right to buy)
34.93
2017-11-12
2024-11-12
Common Stock
25932
25932
D
Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
Adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed on March 19, 2018 to holders of record on March 5, 2018.
One-third of these options vest on each anniversary of the grant date.
/s/ Lynn S. McCreary (attorney-in-fact)
2019-02-21