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