SEC Form 4 · accession 0001209191-17-020263
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas C Wertheimer
Director
Period of report
Mar 9, 2017
Accepted (ET)
Mar 13, 2017 · 5:43 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 | Mar 9, 2017 | M | 5,096 | $26.49 | A | 18,987 | D |
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)F1 | $26.49 | Mar 9, 2017 | M | 5,096 | D | May 23, 2008 | May 23, 2017 | Common Stock | 5,096 | 0 | D |
Explanation of responses
- F1This option vested in five equal installments on each anniversary of the grant date, May 23, 2007.