0001209191-23-005504.txt : 20230130 0001209191-23-005504.hdr.sgml : 20230130 20230130165121 ACCESSION NUMBER: 0001209191-23-005504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230129 FILED AS OF DATE: 20230130 DATE AS OF CHANGE: 20230130 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: 23568571 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-BUSINESS SERVICES, NEC [7389] 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 2023-01-29 0 0000798354 FISERV INC FISV 0001473856 Hau Robert W. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Financial Officer Common Stock 2023-01-29 4 F 0 2882 106.49 D 123843 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Eric C. Nelson (attorney-in-fact) 2023-01-30