0001209191-20-056413.txt : 20201102 0001209191-20-056413.hdr.sgml : 20201102 20201102162751 ACCESSION NUMBER: 0001209191-20-056413 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201030 FILED AS OF DATE: 20201102 DATE AS OF CHANGE: 20201102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WARREN KEVIN M CENTRAL INDEX KEY: 0001495787 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 201280791 MAIL ADDRESS: STREET 1: 55 GLENLAKE PARKWAY, NE CITY: ATLANTA STATE: GA ZIP: 30328 FORMER NAME: FORMER CONFORMED NAME: Warren Kevin M DATE OF NAME CHANGE: 20100701 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 2020-10-30 0 0000798354 FISERV INC FISV 0001495787 WARREN KEVIN M C/O UNITED PARCEL SERVICE, INC. 55 GLENLAKE PARKWAY, NE ATLANTA GA 30328 1 0 0 0 Common Stock 2020-10-30 4 A 0 1102 0.00 A 1102 D These restricted stock units each represent a contingent right to receive one share of Fiserv, Inc. common stock. The restricted stock units vest 100% on the earlier of: (i) the first anniversary of the grant date; or (ii) immediately prior to the first annual meeting of shareholders after the grant date. /s/ Lynn S. McCreary (attorney-in-fact) 2020-11-02