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4//SEC Filing

FISERV INC 4

Accession 0001209191-16-124727

$FISVCIK 0000798354operating

View on SEC.gov Company Profile

Filed

May 31, 8:00 PM ET

Accepted

Jun 1, 5:30 PM ET

Size

29.9 KB

Accession

0001209191-16-124727

Insider Transaction Report

Form 4

Period: 2016-05-27

EVP, Group President

Transactions

Exercise/Conversion
Common Stock
2016-05-27$32.64/sh+25,528$833,234→ 117,974 total
Tax Payment
Common Stock
2016-05-27$104.99/sh−16,662$1,749,343→ 101,312 total
Sale
Common Stock
2016-05-27$105.01/sh−28,603$3,003,601→ 81,354 total
Tax Payment
Common Stock
2016-05-27$104.98/sh−9,897$1,038,987→ 92,446 total
Exercise/Conversion
Stock Option (right to buy)
2016-05-27−14,444→ 0 total
Exercise: $23.85From: 2011-02-24Exp: 2020-02-24→ Common Stock (14,444 underlying)
Exercise/Conversion
Stock Option (right to buy)
2016-05-27−15,364→ 0 total
Exercise: $30.86From: 2012-02-23Exp: 2021-02-23→ Common Stock (15,364 underlying)
Exercise/Conversion
Stock Option (right to buy)
2016-05-27−27,860→ 0 total
Exercise: $40.35From: 2014-02-20Exp: 2023-02-20→ Common Stock (27,860 underlying)
Tax Payment
Common Stock
2016-05-27$104.99/sh−19,215$2,017,383→ 109,957 total
Exercise/Conversion
Common Stock
2016-05-27$30.86/sh+15,364$474,133→ 102,343 total
Exercise/Conversion
Stock Option (right to buy)
2016-05-27−25,528→ 0 total
Exercise: $32.64From: 2013-02-22Exp: 2022-02-22→ Common Stock (25,528 underlying)
Exercise/Conversion
Common Stock
2016-05-27$23.85/sh+14,444$344,489→ 95,798 total
Exercise/Conversion
Common Stock
2016-05-27$40.35/sh+27,860$1,124,151→ 129,172 total
Tax Payment
Common Stock
2016-05-27$104.97/sh−8,819$925,730→ 86,979 total

Footnotes (7)

[F1]Includes 243 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan.
[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 $104.95 to $105.01. 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]The option vested in three equal installments on February 24, 2011, 2012 and 2013.
[F5]The option vested in three equal installments on February 23, 2012, 2013 and 2014.
[F6]The option vested in three equal installments on February 22, 2013, 2014 and 2015.
[F7]The option vested in three equal installments on February 20, 2014, 2015 and 2016.

Documents

2 files

Issuer

FISERV INC

CIK 0000798354

Entity typeoperating

IncorporatedWI

Related Parties

1

filerCIK 0000798354

Filing Metadata

Form type: 4
Filed: May 31, 8:00 PM ET
Accepted: Jun 1, 5:30 PM ET
Size: 29.9 KB

View on SEC.gov