FISERV INC — Director's Dealing 2021

Dec 3, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FISERV INC (FISV)
CIK: 0000798354
Period of Report: 2021-12-01

Reporting Person: Bisignano Frank (Director, President and CEO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-09-17	Common Stock	G	1673	$0.00	Disposed	2474588	Direct
2021-11-15	Common Stock	G	3850	$0.00	Disposed	2470738	Direct
2021-11-17	Common Stock	G	1000	$0.00	Disposed	2469738	Direct
2021-12-01	Common Stock	M	377955	$36.54	Acquired	2847693	Direct
2021-12-01	Common Stock	F	271134	$95.55	Disposed	2576559	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-12-01	Employee Stock Option (right to buy)	$36.54	M	377955	Disposed	2023-05-07	Common Stock (377955)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	430	Indirect
Common Stock	1567	Indirect
Common Stock	15690	Indirect
Common Stock	76713	Indirect
Common Stock	46209	Indirect

Footnotes

F1: This option exercise was effected pursuant to a Rule 10b5-1 trading plan entered into by the reporting person for estate and financial planning purposes.

F2: Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.

F3: These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.

F4: These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.

F5: Held by the Frank J. Bisignano 2020 Grantor Retained Annuity Trust.

F6: This option vested in five equal installments on each anniversary of the grant date, May 7, 2013.