SEC Form 4 · accession 0001209191-19-006243
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kenneth Best
Officer — Chief Accounting Officer
Period of report
Jan 29, 2019
Accepted (ET)
Jan 31, 2019 · 5:43 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,F2,F3 | Jan 29, 2019 | F | 908 | $83.63 | D | 29,974 | 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)F3,F4 | $69.90 | holding | — | — | — | Feb 21, 2019 | Feb 21, 2028 | Common Stock | 6,698 | 6,698 | D |
| Employee Stock Option (right to buy)F3,F4 | $56.91 | holding | — | — | — | Feb 22, 2018 | Feb 22, 2027 | Common Stock | 4,570 | 4,570 | D |
| Employee Stock Option (right to buy)F3,F4 | $48.33 | holding | — | — | — | Feb 19, 2017 | Feb 19, 2026 | Common Stock | 4,788 | 4,788 | D |
| Employee Stock Option (right to buy)F3 | $39.53 | holding | — | — | — | Feb 18, 2016 | Feb 18, 2025 | Common Stock | 5,902 | 5,902 | D |
| Employee Stock Option (right to buy)F3 | $28.49 | holding | — | — | — | Feb 19, 2015 | Feb 19, 2024 | Common Stock | 5,594 | 5,594 | D |
| Employee Stock Option (right to buy)F3 | $20.18 | holding | — | — | — | Feb 20, 2014 | Feb 20, 2023 | Common Stock | 6,132 | 6,132 | D |
| Employee Stock Option (right to buy)F3 | $16.32 | holding | — | — | — | Feb 22, 2013 | Feb 22, 2022 | Common Stock | 7,148 | 7,148 | D |
Explanation of responses
- F1Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
- F2Includes 338 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan.
- F3Adjusted to reflect the two-for-one split of Fiserv, Inc. common stock distributed on March 19, 2018 to holders of record on March 5, 2018.
- F4One-third of these options vest on each anniversary of the grant date.