FISERV INC 4

Accession 0001209191-15-078461

$FISVCIK 0000798354operating

View on SEC.gov Company Profile

Filed

Nov 3, 7:00 PM ET

Accepted

Nov 4, 4:53 PM ET

Size

32.5 KB

Accession

0001209191-15-078461

Insider Transaction Report

Form 4

Period: 2015-11-02

FISERV INCFISV

Hirsch Thomas J

EVP;CFO;Treasurer & Asst Sect

Transactions

Exercise/Conversion
Common Stock
2015-11-02$27.35/sh+25,000$683,750→ 92,996 total
Tax Payment
Common Stock
2015-11-02$96.80/sh−15,961$1,545,025→ 77,035 total
Exercise/Conversion
Common Stock
2015-11-02$27.11/sh+38,740$1,050,241→ 115,775 total
Exercise/Conversion
Employee Stock Option (right to buy)
2015-11-02−48,424→ 0 total
Exercise: $27.11From: 2009-02-27Exp: 2018-02-27→ Common Stock (48,424 underlying)
Tax Payment
Common Stock
2015-11-02$96.81/sh−31,009$3,001,981→ 164,624 total
Exercise/Conversion
Employee Stock Option (right to buy)
2015-11-02−38,740→ 0 total
Exercise: $27.11From: 2011-02-27Exp: 2018-02-27→ Common Stock (38,740 underlying)
Exercise/Conversion
Employee Stock Option (right to buy)
2015-11-02−50,000→ 33,320 total
Exercise: $23.85From: 2011-02-24Exp: 2020-02-24→ Common Stock (50,000 underlying)
Sale
Common Stock
2015-11-02$96.66/sh−96,628$9,340,062→ 67,996 total
Exercise/Conversion
Employee Stock Option (right to buy)
2015-11-02−25,000→ 0 total
Exercise: $27.35From: 2007-02-23Exp: 2017-02-23→ Common Stock (25,000 underlying)
Tax Payment
Common Stock
2015-11-02$96.89/sh−30,848$2,988,863→ 108,671 total
Tax Payment
Common Stock
2015-11-02$96.89/sh−51,286$4,969,101→ 145,633 total
Tax Payment
Common Stock
2015-11-02$96.86/sh−24,680$2,390,480→ 91,095 total
Exercise/Conversion
Common Stock
2015-11-02$27.11/sh+48,424$1,312,775→ 139,519 total
Exercise/Conversion
Common Stock
2015-11-02$16.37/sh+88,248$1,444,620→ 196,919 total
Exercise/Conversion
Common Stock
2015-11-02$23.85/sh+50,000$1,192,500→ 195,633 total
Exercise/Conversion
Employee Stock Option (right to buy)
2015-11-02−88,248→ 0 total
Exercise: $16.37From: 2010-02-26Exp: 2019-02-26→ Common Stock (88,248 underlying)

Footnotes (7)

[F1]Transactions reported herein are for estate and financial planning purposes in anticipation of previously announced retirement on March 31, 2016.
[F2]Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
[F3]This transaction was executed in multiple trades at prices ranging from $96.30 to $96.89. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
[F4]This option vested in five equal installments on the grant date, February 23, 2007, and on each anniversary of the grant date.
[F5]This option vested in three equal installments on each anniversary of the grant date, February 27, 2008.
[F6]This option vested in three equal installments on each anniversary of the grant date, February 26, 2009.
[F7]This option, representing a right to purchase a total of 83,320 shares, vested in three equal installments on each anniversary of the grant date, February 24, 2010.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

FISERV INC

CIK 0000798354

→

Entity typeoperating

IncorporatedWI

Related Parties

filerCIK 0000798354

Filing Metadata

Form type: 4
Filed: Nov 3, 7:00 PM ET
Accepted: Nov 4, 4:53 PM ET
Size: 32.5 KB

View on SEC.gov