0001209191-19-012748.txt : 20190222
0001209191-19-012748.hdr.sgml : 20190222
20190222175554
ACCESSION NUMBER: 0001209191-19-012748
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190220
FILED AS OF DATE: 20190222
DATE AS OF CHANGE: 20190222
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: 19627535
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
2019-02-20
0
0000798354
FISERV INC
FISV
0001341409
Schultz Kevin J
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
EVP & President International
Employee Stock Option (right to buy)
84.73
2019-02-20
4
A
0
28140
0.00
A
2020-02-20
2029-02-20
Common Stock
28140
28140
D
One-third of these options vest on each anniversary of the grant date.
/s/ Lynn S. McCreary (attorney-in-fact)
2019-02-22