SEC Form 4 · accession 0001181431-15-002930
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Byron C Vielehr
Officer — Group President
Period of report
Feb 18, 2015
Accepted (ET)
Feb 20, 2015 · 5:56 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000798354
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 36,402 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $79.05 | Feb 18, 2015 | A | 51,141 | A | Feb 18, 2016 | Feb 18, 2025 | Common Stock | 51,141 | 51,141 | D |
| Stock Option (right to buy)F1,F3 | $54.95 | holding | — | — | — | Dec 1, 2015 | Dec 1, 2023 | Common Stock | 116,892 | 116,892 | D |
Explanation of responses
- F1Adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed on December 16, 2013 to holders of record on December 2, 2013.
- F2One-third of these options vest on each anniversary of the grant date.
- F3One-third of these options vest on the second, third and fourth anniversaries of the grant date.