SEC Form 4 · accession 0001209191-19-011260
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lynn S. McCreary
Officer — Chief Legal Officer
Period of report
Feb 18, 2019
Accepted (ET)
Feb 19, 2019 · 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 StockF1,F2,F3 | Feb 18, 2019 | F | 1,054 | $85.78 | D | 43,138 | 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 | 13,394 | 13,394 | D |
| Employee Stock Option (right to buy)F3,F4 | $56.91 | holding | — | — | — | Feb 22, 2018 | Feb 22, 2027 | Common Stock | 14,786 | 14,786 | D |
| Employee Stock Option (right to buy)F3,F4 | $48.33 | holding | — | — | — | Feb 19, 2017 | Feb 19, 2026 | Common Stock | 19,152 | 19,152 | D |
| Employee Stock Option (right to buy)F3 | $39.53 | holding | — | — | — | Feb 18, 2016 | Feb 18, 2025 | Common Stock | 29,504 | 29,504 | D |
| Employee Stock Option (right to buy)F3 | $28.49 | holding | — | — | — | Feb 19, 2015 | Feb 19, 2024 | Common Stock | 21,310 | 21,310 | D |
| Employee Stock Option (right to buy)F3 | $20.18 | holding | — | — | — | Feb 20, 2014 | Feb 20, 2023 | Common Stock | 17,512 | 17,512 | D |
| Employee Stock Option (right to buy)F3 | $16.32 | holding | — | — | — | Feb 22, 2013 | Feb 22, 2022 | Common Stock | 19,496 | 19,496 | D |
| Employee Stock Option (right to buy)F3 | $15.43 | holding | — | — | — | Feb 23, 2012 | Feb 23, 2021 | Common Stock | 17,560 | 17,560 | D |
| Employee Stock Option (right to buy)F3 | $12.68 | holding | — | — | — | Mar 15, 2011 | Mar 15, 2020 | Common Stock | 18,000 | 18,000 | D |
Explanation of responses
- F1Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
- F2Includes 350 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.