0001209191-23-012872.txt : 20230224 0001209191-23-012872.hdr.sgml : 20230224 20230224181558 ACCESSION NUMBER: 0001209191-23-012872 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: Rosman Adam L. CENTRAL INDEX KEY: 0001549373 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 23669238 MAIL ADDRESS: STREET 1: 200 LIBERTY STREET 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 0001549373 Rosman Adam L. 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 Chief Admin. and Legal Officer Common Stock 2023-02-22 4 A 0 12821 0.00 A 46880 D Common Stock 2023-02-23 4 F 0 1592 116.54 D 45288 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