Frank Bisignano - Feb 15, 2023 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
Feb 15, 2023
Transactions value $
-$2,733,347
Form type
4
Date filed
2/16/2023, 03:34 PM
Previous filing
Jan 30, 2023
Next filing
Feb 24, 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 $3M +71.9K +2.58% $41.75 2.86M Feb 15, 2023 Direct
transaction FI Common Stock Tax liability -$5.73M -48.7K -1.7% $117.74 2.81M Feb 15, 2023 Direct F1
holding FI Common Stock 4.29K Feb 15, 2023 See Footnote F2
holding FI Common Stock 81.6K Feb 15, 2023 By Trust F3
holding FI Common Stock 30K Feb 15, 2023 See Footnote F4
holding FI Common Stock 730 Feb 15, 2023 See Footnote F2
holding FI Common Stock 14.9K Feb 15, 2023 By Spouse
holding FI Common Stock 300 Feb 15, 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 -71.9K -100% $0.00* 0 Feb 15, 2023 Common Stock 71.9K $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.