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