0001209191-21-014729.txt : 20210226
0001209191-21-014729.hdr.sgml : 20210226
20210226161629
ACCESSION NUMBER: 0001209191-21-014729
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210224
FILED AS OF DATE: 20210226
DATE AS OF CHANGE: 20210226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: McCreary Lynn S.
CENTRAL INDEX KEY: 0001582646
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 21689032
MAIL ADDRESS:
STREET 1: 255 FISERV DRIVE
CITY: BROOKFIELD
STATE: WI
ZIP: 53045
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
2021-02-24
0
0000798354
FISERV INC
FISV
0001582646
McCreary Lynn S.
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Legal Officer
Common Stock
2021-02-24
4
A
0
4282
0.00
A
67396
D
Common Stock
2021-02-24
4
F
0
2013
119.07
D
65383
D
Reflects shares of common stock issued to the reporting person pursuant to performance share units granted on February 21, 2018 for which the performance conditions to vesting were determined to be satisfied as of February 24, 2021.
Reflects payment of tax liability by withholding securities incident to vesting of performance share units.
/s/ Lynn S. McCreary
2021-02-26