SEC Form 4 · accession 0001181431-15-007382
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kim M Robak
Director
Period of report
May 21, 2015
Accepted (ET)
May 22, 2015 · 4:43 pm EDT
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 Stock | May 21, 2015 | M | 6,864 | $23.23 | A | 41,340 | D | |
| Common StockF1 | May 21, 2015 | S | 6,864 | $80.77 | D | 34,476 | 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) | $23.23 | May 21, 2015 | M | 6,864 | D | May 26, 2011 | May 26, 2020 | Common Stock | 6,864 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $80.68 to $80.87. 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.