0001209191-21-013328.txt : 20210223 0001209191-21-013328.hdr.sgml : 20210223 20210223174733 ACCESSION NUMBER: 0001209191-21-013328 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210220 FILED AS OF DATE: 20210223 DATE AS OF CHANGE: 20210223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hau Robert W. CENTRAL INDEX KEY: 0001473856 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 21667091 MAIL ADDRESS: STREET 1: 1050 WESTLAKES DRIVE CITY: BERWYN STATE: PA ZIP: 19312 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 2021-02-20 0 0000798354 FISERV INC FISV 0001473856 Hau Robert W. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Financial Officer Common Stock 2021-02-20 4 F 0 1600 111.36 D 99997 D Common Stock 2021-02-21 4 F 0 2578 111.36 D 97419 D Common Stock 2021-02-22 4 F 0 2203 113.36 D 95216 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Lynn S. McCreary (attorney-in-fact) 2021-02-23