Filing Details

Accession Number:
0001209191-17-053269
Form Type:
4
Zero Holdings:
No
Publication Time:
2017-09-19 14:07:13
Reporting Period:
2017-09-18
Accepted Time:
2017-09-19 14:07:13
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
1264141 M Kim Robak Mueller Robak, Llc
530 South 13Th Street, Suite 110
Lincoln NE 68508
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 2017-09-18 6,124 $25.50 42,141 No 4 M Direct
Common Stock Disposition 2017-09-18 6,124 $124.54 36,017 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S 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 2017-09-18 6,124 $0.00 6,124 $25.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2009-05-20 2018-05-21 No 4 M Direct
Footnotes
  1. This transaction was executed in multiple trades at prices ranging from $124.42 to $124.68. 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. This option vested in full on May 20, 2009.