Filing Details

Accession Number:
0001181431-12-057370
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-11-07 16:58:50
Reporting Period:
2012-11-05
Filing Date:
2012-11-07
Accepted Time:
2012-11-07 16:58:50
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
798354 Fiserv Inc FISV Services-Computer Processing & Data Preparation (7374) 391506125
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1235116 C Thomas Wertheimer 255 Fiserv Drive
Brookfield WI 53045
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-11-05 5,288 $30.76 15,639 No 4 M Direct
Common Stock Disposition 2012-11-05 4,019 $74.74 11,620 No 4 S Direct
Common Stock Acquisiton 2012-11-05 403 $39.67 12,023 No 4 M Direct
Common Stock Acquisiton 2012-11-05 447 $35.79 12,470 No 4 M Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
No 4 M Direct
No 4 M Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option (right to buy) Disposition 2012-11-05 5,288 $0.00 5,288 $30.76
Common Stock Stock Option (right to buy) Disposition 2012-11-05 403 $0.00 403 $39.67
Common Stock Stock Option (right to buy) Disposition 2012-11-05 447 $0.00 447 $35.79
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2004-05-20 2013-05-20 No 4 M Direct
0 2004-08-19 2013-08-19 No 4 M Direct
0 2004-11-19 2013-11-19 No 4 M Direct
Footnotes
  1. This transaction was executed in multiple trades at prices ranging from $74.72 to $74.77. 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.
  2. The option vested in 5 equal annual installments beginning May 20, 2004 and is due to expire May 20, 2013.
  3. The option vested in 5 equal annual installments beginning August 19, 2004 and is due to expire August 19, 2013.
  4. The option vested in 5 equal annual installments beginning November 19, 2004 and is due to expire November 19, 2013.