0001209191-21-009208.txt : 20210210
0001209191-21-009208.hdr.sgml : 20210210
20210210161651
ACCESSION NUMBER: 0001209191-21-009208
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210209
FILED AS OF DATE: 20210210
DATE AS OF CHANGE: 20210210
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: 21614033
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
2021-02-09
0
0000798354
FISERV INC
FISV
0001654667
Chiarello Guy
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Administrative Officer
Common Stock
2021-02-09
4
M
0
20000
36.54
A
309637
D
Common Stock
2021-02-09
4
S
0
20000
112.65
D
289637
D
Employee Stock Option (right to buy)
36.54
2021-02-09
4
M
0
20000
0.00
D
2014-07-11
2023-07-11
Common Stock
20000
379292
D
This option exercise and sale was effected pursuant to a Rule 10b5-1 trading plan entered into by the reporting person for estate and financial planning purposes.
This option vested in five equal installments on each anniversary of the grant date, July 11, 2013.
/s/ Lynn S. McCreary (attorney-in-fact)
2021-02-10