0001209191-23-040302.txt : 20230630 0001209191-23-040302.hdr.sgml : 20230630 20230630161301 ACCESSION NUMBER: 0001209191-23-040302 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230628 FILED AS OF DATE: 20230630 DATE AS OF CHANGE: 20230630 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kereere Suzan CENTRAL INDEX KEY: 0001896086 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38962 FILM NUMBER: 231061850 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 X0407 4 2023-06-28 0 0000798354 FISERV INC FISV 0001896086 Kereere Suzan 255 FISERV DRIVE BROOKFIELD WI 53045 0 1 0 0 EVP, Head of GBS 0 Common Stock 2023-06-28 4 F 0 3148 122.95 D 49425 D Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units. /s/ Eric C. Nelson (attorney-in-fact) 2023-06-30