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