0001209191-23-012858.txt : 20230224
0001209191-23-012858.hdr.sgml : 20230224
20230224180236
ACCESSION NUMBER: 0001209191-23-012858
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230222
FILED AS OF DATE: 20230224
DATE AS OF CHANGE: 20230224
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bisignano Frank
CENTRAL INDEX KEY: 0001346629
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38962
FILM NUMBER: 23669195
MAIL ADDRESS:
STREET 1: 225 LIBERTY STREET, 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-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
2023-02-22
0
0000798354
FISERV INC
FISV
0001346629
Bisignano Frank
255 FISERV DRIVE
BROOKFIELD
WI
53045
1
1
0
0
Chairman, President and CEO
Common Stock
2023-02-22
4
A
0
76676
0.00
A
2890142
D
Common Stock
2023-02-23
4
F
0
11950
116.54
D
2878192
D
Common Stock
4286
I
See Footnote
Common Stock
81550
I
By Trust
Common Stock
30000
I
See Footnote
Common Stock
730
I
See Footnote
Common Stock
14940
I
By Spouse
Common Stock
300
I
See Footnote
On February 22, 2023, the independent members of the board of directors granted Mr. Bisignano's incentive compensation for 2022 entirely in the form of equity awards, with 60% of the awards (112,921 units) in the form of performance share units (PSUs) that vest at the end of a three-year performance period based on the achievement of performance goals and 40% of the awards (76,676 units) in the form of restricted stock units (RSUs). The 60 / 40% ratio of PSUs to RSUs, respectively, reflects an increased level of PSUs compared to the 50 / 50% ratio in the prior year. The restricted stock units are reported on this Form 4 and vest one-third on each anniversary of the grant date.
Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.
These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.
Held by the Frank J. Bisignano 2022 Grantor Retained Annuity Trust.
/s/ Eric C. Nelson (attorney-in-fact)
2023-02-24