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