SEC Form 4 · accession 0001209191-16-104110
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kevin P. Gregoire
Officer — Group President
Period of report
Feb 26, 2016
Accepted (ET)
Mar 1, 2016 · 5:48 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 26, 2016 | M | 5,202 | $27.11 | A | 47,161 | D | |
| Common StockF1 | Feb 26, 2016 | S | 5,202 | $98.55 | D | 41,959 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $27.11 | Feb 26, 2016 | M | 5,202 | D | Feb 27, 2009 | Feb 27, 2018 | Common Stock | 5,202 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $98.53 to $98.57. 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.
- F2This option vested in three equal installments on each anniversary of the grant date, February 27, 2008.