SEC Form 4 · accession 0001209191-16-119995
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel P Kearney
Director
Period of report
May 11, 2016
Accepted (ET)
May 13, 2016 · 5:04 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 11, 2016 | M | 5,096 | $26.49 | A | 24,596 | D | |
| Common Stock | May 11, 2016 | M | 6,124 | $25.50 | A | 30,720 | D | |
| Common StockF1 | May 11, 2016 | S | 11,220 | $105.31 | 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 | $26.49 | May 11, 2016 | M | 5,096 | D | May 23, 2008 | May 23, 2017 | Common Stock | 5,096 | 0 | D |
| Stock Option (right to buy)F4 | $25.50 | May 11, 2016 | M | 6,124 | D | May 20, 2009 | May 21, 2018 | Common Stock | 6,124 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $105.30 to $105.33. 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 23, 2007.
- F4This option vested in full on May 20, 2009.