SEC Form 4 · accession 0001209191-19-012220
FISERV INC · FISV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Byron C Vielehr
Officer — Chief Administrative Officer
Period of report
Feb 19, 2019
Accepted (ET)
Feb 21, 2019 · 5:52 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 19, 2019 | F | 1,945 | $85.62 | D | 36,477 | 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 | 66,966 | 66,966 | D |
| Employee Stock Option (right to buy)F3,F4 | $56.91 | holding | — | — | — | Feb 22, 2018 | Feb 22, 2027 | Common Stock | 26,882 | 26,882 | D |
| Employee Stock Option (right to buy)F3 | $48.33 | holding | — | — | — | Feb 19, 2017 | Feb 19, 2026 | Common Stock | 38,302 | 38,302 | D |
| Employee Stock Option (right to buy)F3 | $39.53 | holding | — | — | — | Feb 18, 2016 | Feb 18, 2025 | Common Stock | 102,282 | 102,282 | D |
| Employee Stock Option (right to buy)F3 | $27.48 | holding | — | — | — | Dec 1, 2015 | Dec 1, 2023 | Common Stock | 233,784 | 233,784 | 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.