Form Type: 4

SEC EDGAR Link
Acccession Number:0001209191-19-053418
Date:2019-10-16
Issuer: FISERV INC (FISV)
Original Submission Date:

Reporting Person:

YABUKI JEFFERY W
255 FISERV DRIVE
BROOKFIELD, WI 53045

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2019-10-16 S 3,600 d $105.55 257,829 direct
COMMON STOCK 2019-10-16 S 21,400 d $106.46 236,429 direct
COMMON STOCK 0 $0.00 345,050 indirect f4
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
Footnotes
IDfootnote
f1 this sale was effected pursuant to a rule 10b5-1 trading plan which was entered into by the reporting person for estate and financial planning purposes.
f2 this transaction was executed in multiple trades at prices ranging from $105.04 to $105.97. 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.
f3 this transaction was executed in multiple trades at prices ranging from $105.97 to $106.65. 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.
f4 by the yabuki family foundation of which mr. yabuki serves as trustee.

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