SEC Form 4 · accession 0001209191-17-044586
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Doyle Simons
Director
Period of report
Jul 6, 2017
Accepted (ET)
Jul 10, 2017 · 4:36 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 | Jul 6, 2017 | M | 4,216 | $24.01 | A | 22,363 | 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 | $24.01 | Jul 6, 2017 | M | 4,216 | D | Aug 21, 2008 | Aug 21, 2017 | Common Stock | 4,216 | 0 | D |
Explanation of responses
- F1This option vested in five equal installments on each anniversary of the grant date, August 21, 2007.