SEC Form 4 · accession 0001209191-16-128850
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Tait
Officer — Group President
Period of report
Jun 16, 2016
Accepted (ET)
Jun 20, 2016 · 5:28 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 | Jun 16, 2016 | M | 11,650 | $22.83 | A | 45,622 | D | |
| Common Stock | Jun 16, 2016 | M | 13,888 | $23.85 | A | 59,510 | D | |
| Common StockF1 | Jun 16, 2016 | S | 25,538 | $105.68 | D | 33,972 | 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 | $22.83 | Jun 16, 2016 | M | 11,650 | D | Nov 2, 2011 | Nov 2, 2019 | Common Stock | 11,650 | 0 | D |
| Employee Stock Option (right to buy)F3 | $23.85 | Jun 16, 2016 | M | 13,888 | D | Feb 24, 2011 | Feb 24, 2020 | Common Stock | 13,888 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $105.50 to $105.87. 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.
- F2This option vested in three equal installments on November 2, 2011, 2012 and 2013.
- F3This option vested in three equal installments on February 24, 2011, 2012 and 2013.