SEC Form 4 · accession 0001209191-17-013432
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel P Kearney
Director
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 5:29 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 17, 2017 | M | 7,658 | $20.68 | A | 27,998 | D | |
| Common StockF1 | Feb 17, 2017 | S | 7,658 | $111.05 | D | 20,340 | 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 | $20.68 | Feb 17, 2017 | M | 7,658 | D | May 20, 2010 | May 20, 2019 | Common Stock | 7,658 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $110.99 to $111.11. 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 full on May 20, 2010.