Frank Bisignano - 15 Feb 2023 Form 4 Insider Report for FISERV INC (FI)

Role
Chairman, President and CEO, Director
Signature
/s/ Eric C. Nelson (attorney-in-fact)
Issuer symbol
FI
Transactions as of
15 Feb 2023
Net transactions value
-$2,733,347
Form type
4
Filing time
16 Feb 2023, 15:34:55 UTC
Previous filing
30 Jan 2023
Next filing
24 Feb 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FI Common Stock Options Exercise $3,001,533 +71,893 +2.6% $41.75 2,862,174 15 Feb 2023 Direct
transaction FI Common Stock Tax liability $5,734,880 -48,708 -1.7% $117.74 2,813,466 15 Feb 2023 Direct F1
holding FI Common Stock 4,286 15 Feb 2023 See Footnote F2
holding FI Common Stock 81,550 15 Feb 2023 By Trust F3
holding FI Common Stock 30,000 15 Feb 2023 See Footnote F4
holding FI Common Stock 730 15 Feb 2023 See Footnote F2
holding FI Common Stock 14,940 15 Feb 2023 By Spouse
holding FI Common Stock 300 15 Feb 2023 See Footnote F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction FI Employee Stock Option (right to buy) Options Exercise $0 -71,893 -100% $0.000000* 0 15 Feb 2023 Common Stock 71,893 $41.75 Direct F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.
F2 These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.
F3 These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.
F4 Held by the Frank J. Bisignano 2022 Grantor Retained Annuity Trust.
F5 This option vested in three equal installments on each anniversary of January 1, 2014.