0001209191-20-013983.txt : 20200228 0001209191-20-013983.hdr.sgml : 20200228 20200228170240 ACCESSION NUMBER: 0001209191-20-013983 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200226 FILED AS OF DATE: 20200228 DATE AS OF CHANGE: 20200228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McCreary Lynn S. CENTRAL INDEX KEY: 0001582646 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 20671801 MAIL ADDRESS: STREET 1: 255 FISERV DRIVE CITY: BROOKFIELD STATE: WI ZIP: 53045 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 2020-02-26 0 0000798354 FISERV INC FISV 0001582646 McCreary Lynn S. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Legal Officer Common Stock 2020-02-26 4 A 0 5316 0.00 A 54073 D Employee Stock Option (right to buy) 112.87 2020-02-26 4 A 0 17104 0.00 A 2021-02-26 2030-02-26 Common Stock 17104 17104 D One-fourth of these restricted stock units vest on each anniversary of the grant date. One-fourth of these options vest on each anniversary of the grant date. /s/ Robert W. Hau (attorney-in-fact) 2020-02-28