SEC Form 4 · accession 0001209191-18-034769
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kim M Robak
Director
Period of report
May 30, 2018
Accepted (ET)
Jun 1, 2018 · 5:08 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 | May 30, 2018 | M | 10,388 | $15.65 | A | 85,094 | D | |
| Common StockF1 | May 30, 2018 | S | 10,388 | $72.92 | D | 74,706 | 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)F2 | $15.65 | May 30, 2018 | M | 10,388 | D | May 23, 2012 | May 25, 2021 | Common Stock | 10,388 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $72.85 to $72.94. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F2This option vested in full on May 23, 2012.