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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.