0001209191-23-012869.txt : 20230224 0001209191-23-012869.hdr.sgml : 20230224 20230224181231 ACCESSION NUMBER: 0001209191-23-012869 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: Hau Robert W. CENTRAL INDEX KEY: 0001473856 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 23669229 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 2023-02-22 0 0000798354 FISERV INC FISV 0001473856 Hau Robert W. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Financial Officer Common Stock 2023-02-22 4 A 0 23763 0.00 A 145375 D Common Stock 2023-02-23 4 F 0 3384 116.54 D 141991 D One-third of these restricted stock units vest on each anniversary of the grant date. Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Eric C. Nelson (attorney-in-fact) 2023-02-24