SEC Form 4 · accession 0001209191-15-078461

FISERV INC · FISV

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Chief Financial Officer

Period of report

Nov 2, 2015

Accepted (ET)

Nov 4, 2015 · 4:53 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
Common Stock^F1	Nov 2, 2015	M	25,000	$27.35	A	92,996	D
Common Stock^F2	Nov 2, 2015	F	15,961	$96.80	D	77,035	D
Common Stock	Nov 2, 2015	M	38,740	$27.11	A	115,775	D
Common Stock^F2	Nov 2, 2015	F	24,680	$96.859	D	91,095	D
Common Stock	Nov 2, 2015	M	48,424	$27.11	A	139,519	D
Common Stock^F2	Nov 2, 2015	F	30,848	$96.89	D	108,671	D
Common Stock	Nov 2, 2015	M	88,248	$16.37	A	196,919	D
Common Stock^F2	Nov 2, 2015	F	51,286	$96.89	D	145,633	D
Common Stock	Nov 2, 2015	M	50,000	$23.85	A	195,633	D
Common Stock^F2	Nov 2, 2015	F	31,009	$96.81	D	164,624	D
Common Stock^F3	Nov 2, 2015	S	96,628	$96.66	D	67,996	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (right to buy)^F4	$27.35	Nov 2, 2015	M	25,000	D	Feb 23, 2007	Feb 23, 2017	Common Stock	25,000	0	D
Employee Stock Option (right to buy)	$27.11	Nov 2, 2015	M	38,740	D	Feb 27, 2011	Feb 27, 2018	Common Stock	38,740	0	D
Employee Stock Option (right to buy)^F5	$27.11	Nov 2, 2015	M	48,424	D	Feb 27, 2009	Feb 27, 2018	Common Stock	48,424	0	D
Employee Stock Option (right to buy)^F6	$16.37	Nov 2, 2015	M	88,248	D	Feb 26, 2010	Feb 26, 2019	Common Stock	88,248	0	D
Employee Stock Option (right to buy)^F7	$23.85	Nov 2, 2015	M	50,000	D	Feb 24, 2011	Feb 24, 2020	Common Stock	50,000	33,320	D

F1Transactions reported herein are for estate and financial planning purposes in anticipation of previously announced retirement on March 31, 2016.
F2Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
F3This 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.
F4This option vested in five equal installments on the grant date, February 23, 2007, and on each anniversary of the grant date.
F5This option vested in three equal installments on each anniversary of the grant date, February 27, 2008.
F6This option vested in three equal installments on each anniversary of the grant date, February 26, 2009.
F7This 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.