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FISERV INC — Director's Dealing 2021
Sep 2, 2021
29938_dirs_2021-09-02_9761edfe-4bf9-4d45-8f40-6c0377e64732.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: FISERV INC (FISV)
CIK: 0000798354
Period of Report: 2021-09-01
Reporting Person: Bisignano Frank (Director, President and CEO)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2021-08-20 | Common Stock | G | 2656 | $0.00 | Disposed | 2311970 | Direct |
| 2021-09-01 | Common Stock | M | 377955 | $36.54 | Acquired | 2718716 | Direct |
| 2021-09-01 | Common Stock | F | 252546 | $118.34 | Disposed | 2466170 | Direct |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2021-09-01 | 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 | 1567 | Indirect |
| Common Stock | 120 | 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 28,791 shares distributed from the Frank J. Bisignano 2020 Grantor Retained Annuity Trust on September 1, 2021.
F3: Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
F4: These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.
F5: These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.
F6: Reflects the distribution of 28,791 shares to the reporting person on September 1, 2021.
F7: Held by the Frank J. Bisignano 2020 Grantor Retained Annuity Trust.
F8: This option vested in five equal installments on each anniversary of the grant date, May 7, 2013.