SEC Form 5 · accession 0001209191-18-009689
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark A Ernst
Officer — Chief Operating Officer
Period of report
Dec 31, 2017
Accepted (ET)
Feb 13, 2018 · 5:42 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 | Nov 16, 2016 | G | 1,490 | $0.00 | D | 56,049 | D | |
| Common StockF1 | Dec 12, 2017 | G | 1,900 | $0.00 | D | 54,365 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Includes 216 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan.