SEC Form 4 · accession 0001209191-16-101054
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel P Kearney
Director
Period of report
Feb 18, 2016
Accepted (ET)
Feb 22, 2016 · 5:42 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 Stock | Feb 18, 2016 | M | 6,136 | $22.00 | A | 25,636 | D | |
| Common StockF1 | Feb 18, 2016 | S | 6,136 | $96.25 | D | 19,500 | D | |
| Common StockF2 | holding | — | — | — | 3,400 | I | By Trust |
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)F3 | $22.00 | Feb 18, 2016 | M | 6,136 | D | May 24, 2007 | May 24, 2016 | Common Stock | 6,136 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $96.08 to $96.44. 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.
- F2By the Daniel and Gloria Kearney Foundation of which Mr. Kearney serves as trustee.
- F3This option vested in five equal installments on each anniversary of the grant date, May 24, 2006.