SEC Form 4 · accession 0001209191-19-015050
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
Feb 27, 2019
Accepted (ET)
Mar 1, 2019 · 4:55 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 Stock | Feb 27, 2019 | M | 7,148 | $16.32 | A | 38,364 | D | |
| Common Stock | Feb 27, 2019 | M | 6,132 | $20.18 | A | 44,496 | D | |
| Common StockF1 | Feb 27, 2019 | S | 13,280 | $84.95 | D | 31,216 | 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) | $16.32 | Feb 27, 2019 | M | 7,148 | D | Feb 22, 2013 | Feb 22, 2022 | Common Stock | 7,148 | 0 | D |
| Employee Stock Option (right to buy) | $20.18 | Feb 27, 2019 | M | 6,132 | D | Feb 20, 2014 | Feb 20, 2023 | Common Stock | 6,132 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $84.935 to $84.98. 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.