Harry DiSimone - Dec 31, 2021 Form 5 Insider Report for FISERV INC (FI)

Role
Director
Signature
/s/ Eric C. Nelson (attorney-in-fact)
Stock symbol
FI
Transactions as of
Dec 31, 2021
Transactions value $
$0
Form type
5
Date filed
2/1/2022, 04:49 PM
Previous filing
Nov 30, 2021
Next filing
Apr 4, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FI Common Stock Gift $0 -2.71K -20.16% $0.00 10.7K Dec 28, 2021 Direct
transaction FI Common Stock Gift $0 +2.71K $0.00 2.71K Dec 28, 2021 By Trust F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Held by the Harry DiSimone 2021 Irrevocable Exemption Trust for the benefit of family members of the reporting person and of which such family members serve as trustee.