0001209191-21-006809.txt : 20210202
0001209191-21-006809.hdr.sgml : 20210202
20210202164859
ACCESSION NUMBER: 0001209191-21-006809
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210129
FILED AS OF DATE: 20210202
DATE AS OF CHANGE: 20210202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Chiarello Guy
CENTRAL INDEX KEY: 0001654667
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 21582220
MAIL ADDRESS:
STREET 1: C/O FIRST DATA CORPORATION
STREET 2: FIRST DATA, 225 LIBERTY STREET
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
2021-01-29
0
0000798354
FISERV INC
FISV
0001654667
Chiarello Guy
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Administrative Officer
Common Stock
2021-01-29
4
A
0
39277
0.00
A
289637
D
One-third of these restricted stock units vest on each anniversary of the grant date.
/s/ Lynn S. McCreary (attorney-in-fact)
2021-02-02