Frank Bisignano - Aug 12, 2022 Form 4 Insider Report for FISERV INC (FI)

Role
Chairman, President and CEO, Director
Signature
/s/ Eric C. Nelson (attorney-in-fact)
Stock symbol
FI
Transactions as of
Aug 12, 2022
Transactions value $
-$44,031,036
Form type
4
Date filed
8/16/2022, 04:37 PM
Previous filing
Aug 2, 2022
Next filing
Jan 30, 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 Gift $0 -1.41K -0.05% $0.00 2.62M Aug 8, 2022 Direct
transaction FI Common Stock Options Exercise $32.2M +882K +33.61% $36.54 3.51M Aug 12, 2022 Direct
transaction FI Common Stock Tax liability -$63.8M -584K -16.65% $109.37 2.92M Aug 12, 2022 Direct F1
transaction FI Common Stock Tax liability -$12.4M -113K -3.86% $110.16 2.81M Aug 15, 2022 Direct F2
holding FI Common Stock 730 Aug 12, 2022 See Footnote F3
holding FI Common Stock 1.87K Aug 12, 2022 See Footnote F3
holding FI Common Stock 14.9K Aug 12, 2022 By Spouse
holding FI Common Stock 300 Aug 12, 2022 See Footnote F3
holding FI Common Stock 76.7K Aug 12, 2022 By Trust F4
holding FI Common Stock 46.2K Aug 12, 2022 By Trust F5

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 -882K -100% $0.00* 0 Aug 12, 2022 Common Stock 882K $36.54 Direct F6
* 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 Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
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.