0001209191-19-043736.txt : 20190730 0001209191-19-043736.hdr.sgml : 20190730 20190730180920 ACCESSION NUMBER: 0001209191-19-043736 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190729 FILED AS OF DATE: 20190730 DATE AS OF CHANGE: 20190730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chiarello Guy CENTRAL INDEX KEY: 0001654667 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 19986759 MAIL ADDRESS: STREET 1: C/O FIRST DATA CORPORATION STREET 2: FIRST DATA, 225 LIBERTY STREET CITY: NEW YORK STATE: NY ZIP: 10281 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-07-29 1 0000798354 FISERV INC FISV 0001654667 Chiarello Guy 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Administrative Officer On July 29, 2019, the merger (the "Merger") of 300 Holdings, Inc., a wholly owned subsidiary of Fiserv, Inc. (the "Issuer"), with and into First Data Corporation ("First Data"), pursuant to the Agreement and Plan of Merger, dated as of January 16, 2019, was completed. Prior to the completion of the Merger, no securities of the Issuer were beneficially owned by the Reporting Person. This report does not include the securities of the Issuer acquired by the Reporting Person upon the completion of the Merger. The Reporting Person will separately file a Form 4 reflecting the Reporting Person's acquisition of securities of the Issuer in connection with the completion of the Merger. Exhibit List: Exhibit 24 - Power of Attorney /s/ Lynn S. McCreary (attorney-in-fact) 2019-07-30 EX-24 2 attachment1.htm EX-24 DOCUMENT

POWER OF ATTORNEY
Know all by these presents that the undersigned hereby constitutes and appoints
each of Jeffery W. Yabuki, Robert W. Hau and Lynn S. McCreary, signing singly,
the undersigned's true and lawful attorney-in-fact with respect to the
undersigned's holdings of and transactions in securities issued by Fiserv, Inc.
to:
(1)	execute for and on behalf of the undersigned Forms 3, 4 and 5 in accordance
with Section 16(a) of the Securities Exchange Act of 1934 and the rules
thereunder;
(2)	do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete the execution of any such Form 3, 4 or
5 and the timely filing of such form with the United States Securities and
Exchange Commission and any other authority; and
(3)	take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in the
undersigned's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform all and every act and exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as such
attorney-in-fact might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or his or her substitute or substitutes, shall lawfully do or
cause to be done by virtue of this power of attorney and the rights and powers
herein granted.  The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming any of the undersigned's responsibilities to
comply with Section 16 of the Securities Exchange Act of 1934.
The undersigned hereby revokes any power of attorney granted by the undersigned
prior to the date hereof with respect to the undersigned's holdings of and
transactions in securities issued by Fiserv, Inc.  This Power of Attorney shall
remain in full force and effect until the undersigned is no longer required to
file Forms 3, 4 or 5 with respect to the undersigned's holdings of and
transactions in securities issued by Fiserv, Inc., unless earlier revoked by the
undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed this 29th day of July, 2019.
/s/ Guy Chiarello
Guy Chiarello