Form 4 for FISV Fiserv
Accepted 2021-12-03 00:00:00 ET · period of report 2021-12-01 · accession 0001209191-21-067924 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2021-12-03 | 2021-09-17+ | FISV | Bisignano Frank | Pres, CEO, Dir | G - Gift | $0.00 | -6,523 | 2.47M | -0.3% | $0 |
| D | 2021-12-03 | 2021-12-01 | FISV | Bisignano Frank | Pres, CEO, Dir | F - Tax | $95.55 | -271.1K | 2.58M | -10% | -$25.91M |
| D | 2021-12-03 | 2021-12-01 | FISV | Bisignano Frank | Pres, CEO, Dir | M - OptEx | $36.54 | +378.0K | 2.85M | +15% | +$13.81M |
| D | 2021-12-03 | 2021-12-01 | FISV | Bisignano Frank | Pres, CEO, Dir | M - OptEx | $0.00 | -378.0K | 881.9K | -30% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2021-09-17 | G | D | 1,673 | $0.00 | 2,474,588 | D | — | — | |
| 2 | Common | Common Stock | 2021-11-17 | G | D | 1,000 | $0.00 | 2,469,738 | D | — | — | |
| 3 | Common | Common Stock | 2021-11-15 | G | D | 3,850 | $0.00 | 2,470,738 | D | — | — | |
| 4 | Common | Common Stock | 2021-12-01 | F | D | 271,134 | $95.55 | 2,576,559 | D | — | — | (F2) Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options. |
| 5 | Common | Common Stock | 2021-12-01 | M | A | 377,955 | $36.54 | 2,847,693 | D | — | — | (F1) This option exercise was effected pursuant to a Rule 10b5-1 trading plan entered into by the reporting person for estate and financial planning purposes. |
| 6 | Derivative | Employee Stock Option (right to buy) | 2021-12-01 | M | D | 377,955 | $0.00 | 881,902 | D | $36.54 · 2014-05-07 to 2023-05-07 | 377,955 Common Stock | (F1) This option exercise was effected pursuant to a Rule 10b5-1 trading plan entered into by the reporting person for estate and financial planning purposes. (F6) This option vested in five equal installments on each anniversary of the grant date, May 7, 2013. |