SEC Form 4 · accession 0001209191-17-014466
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 22, 2017
Accepted (ET)
Feb 24, 2017 · 5:41 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 StockF1 | Feb 22, 2017 | A | 879 | $0.00 | A | 37,381 | 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 | $113.82 | Feb 22, 2017 | A | 8,065 | A | Feb 22, 2018 | Feb 22, 2027 | Common Stock | 8,065 | 8,065 | D |
Explanation of responses
- F1One-third of these restricted stock units vest on the second, third and fourth anniversaries of the grant date.
- F2One-third of these options vest on each anniversary of the grant date.