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