Form Type: 4

SEC EDGAR Link
Acccession Number:0001209191-19-056792
Date:2019-11-13
Issuer: FISERV INC (FISV)
Original Submission Date:

Reporting Person:

MCCREARY LYNN S.
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 2019-11-13 M 18,000 a $12.68 70,364 direct
COMMON STOCK 2019-11-13 S 18,000 d $111.39 52,364 direct
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
EMPLOYEE STOCK OPTION (RIGHT TO BUY) 12.68 2019-11-13 deemed execution date M 18,000 (d) 2011-03-15 2020-03-15 common stock 18,000 $12.68 0 direct
Footnotes
IDfootnote
f1 this option vested in three equal installments on march 15, 2011, 2012 and 2013.

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