0001209191-21-020455.txt : 20210315
0001209191-21-020455.hdr.sgml : 20210315
20210315162027
ACCESSION NUMBER: 0001209191-21-020455
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210311
FILED AS OF DATE: 20210315
DATE AS OF CHANGE: 20210315
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: 21741742
MAIL ADDRESS:
STREET 1: 225 LIBERTY STREET
STREET 2: 29TH FLOOR
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
2021-03-11
0
0000798354
FISERV INC
FISV
0001654667
Chiarello Guy
255 FISERV DRIVE
BROOKFIELD
WI
53045
0
1
0
0
Chief Administrative Officer
Common Stock
2021-03-11
4
M
0
30000
36.54
A
290874
D
Common Stock
2021-03-11
4
S
0
30000
125.67
D
260874
D
Employee Stock Option (right to buy)
36.54
2021-03-11
4
M
0
30000
0.00
D
2014-07-11
2023-07-11
Common Stock
30000
329292
D
This transaction was executed in multiple trades at prices ranging from $125.57 to $125.83. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
This option vested in five equal installments on each anniversary of the grant date, July 11, 2013.
/s/ Robert W. Hau (attorney-in-fact)
2021-03-15