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