SEC Form 4 · accession 0001209191-18-013004
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert W. Hau
Officer — Chief Financial Officer
Period of report
Feb 21, 2018
Accepted (ET)
Feb 23, 2018 · 4:49 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 21, 2018 | A | 8,227 | $0.00 | A | 40,660 | 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 | $139.79 | Feb 21, 2018 | A | 25,670 | A | Feb 21, 2019 | Feb 21, 2028 | Common Stock | 25,670 | 25,670 | 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.