FISERV INC — Director's Dealing 2021

Jun 3, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: FISERV INC (FISV)
CIK: 0000798354
Period of Report: 2021-06-01

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

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-04-16	Common Stock	G	7967	$0.00	Disposed	2359547	Direct
2021-05-04	Common Stock	G	1738	$0.00	Disposed	2357809	Direct
2021-06-01	Common Stock	M	377955	$36.54	Acquired	2735764	Direct
2021-06-01	Common Stock	F	246413	$114.43	Disposed	2489351	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-06-01	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	75000	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.