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

Role
Director
Signature
/s/ Eric C. Nelson (attorney-in-fact)
Issuer symbol
FI
Transactions as of
31 Dec 2021
Net transactions value
$0
Form type
5
Filing time
01 Feb 2022, 16:49:32 UTC
Previous filing
30 Nov 2021
Next filing
04 Apr 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FI Common Stock Gift $0 -2,706 -20% $0.000000 10,716 28 Dec 2021 Direct
transaction FI Common Stock Gift $0 +2,706 $0.000000 2,706 28 Dec 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.