0001209191-19-049064.txt : 20190910 0001209191-19-049064.hdr.sgml : 20190910 20190910175322 ACCESSION NUMBER: 0001209191-19-049064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190909 FILED AS OF DATE: 20190910 DATE AS OF CHANGE: 20190910 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bisignano Frank CENTRAL INDEX KEY: 0001346629 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 191086304 MAIL ADDRESS: STREET 1: FIRST DATA CORPORATION STREET 2: 225 LIBERTY STREET, 29TH FLOOR 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-09-09 0 0000798354 FISERV INC FISV 0001346629 Bisignano Frank 255 FISERV DRIVE BROOKFIELD WI 53045 1 1 0 0 President and COO Common Stock 2019-09-04 5 G 0 E 4605 0.00 D 2714080 D Common Stock 2019-09-09 4 F 0 46845 106.68 D 2667235 D Common Stock 2019-09-04 5 G 0 E 190 0.00 A 2913 I See Footnote Common Stock 31838 I By Trust Common Stock 83160 I By Trust Common Stock 575 I By Trust Common Stock 7817 I By Spouse Reflects payment of tax liability by withholding securities incident to vesting of restricted stock. The reporting person no longer has a reportable beneficial interest in 1,879 shares of Fiserv common stock included in the reporting person's prior ownership reports. These shares are held in accounts for the benefit of the reporting person's children. Held by the Frank J. Bisignano 2016 Grantor Retained Annuity Trust. Held by the Frank J. Bisignano 2017 Grantor Retained Annuity Trust. Held by a revocable trust. /s/ Lynn S. McCreary (attorney-in-fact) 2019-09-10