|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| |||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Deferred Compensation Notional Units | (1) | 03/31/2008 | A | 364 (2) | (1) | (1) | Common Stock | 364 | $ 48.09 (2) | 364 | D | ||||
Deferred Compensation Notional Units | (1) | 06/30/2008 | A | 386 (3) | (1) | (1) | Common Stock | 386 | $ 45.37 (3) | 750 | D | ||||
Deferred Compensation Notional Units | (1) | 09/30/2008 | A | 370 (4) | (1) | (1) | Common Stock | 370 | $ 47.32 (4) | 1,120 | D | ||||
Deferred Compensation Notional Units | (1) | 12/31/2008 | A | 481 (5) | (1) | (1) | Common Stock | 481 | $ 36.37 (5) | 1,601 | D | ||||
Deferred Compensation Notional Units | (1) | 03/31/2009 | A | 480 (6) | (1) | (1) | Common Stock | 480 | $ 36.46 (6) | 2,081 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SIMONS DOYLE R 1300 SOUTH MOPAC AUSTIN, TX 78746 |
X |
/s/ Charles W. Sprague (attorney-in-fact) | 07/01/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | As reported in the beneficial ownership table and director compensation section of the company's proxy statement for 2008, Fiserv allocated notional units to the reporting person's Fiserv, Inc. Non-Employee Director Deferred Compensation Plan (the "Plan") account during 2008. Under the Plan, director fees otherwise payable in cash may be deferred in exchange for the allocation of notional units under the Plan. The number of notional units credited is calculated by dividing the amount of compensation that is deferred by the closing price of the company's common stock on the date of deferral. Upon termination of the reporting person's service to the company, each notional unit will be settled in shares of Fiserv common stock on a one-for-one basis. This Form 4 is being filed to report the number of units allocated to the reporting person's Plan account each quarter during 2008, as well as to report the number of units allocated to the reporting person's account on March 31, 2009. |
(2) | This Form 4 reports the crediting of units under the Plan on March 31, 2008 in respect of $17,500 of deferred compensation. On March 31, 2008, the closing price of Fiserv's common stock was $48.09 per share. |
(3) | This Form 4 reports the crediting of units under the Plan on June 30, 2008 in respect of $17,500 of deferred compensation. On June 30, 2008, the closing price of Fiserv's common stock was $45.37 per share. |
(4) | This Form 4 reports the crediting of units under the Plan on September 30, 2008 in respect of $17,500 of deferred compensation. On September 30, 2008, the closing price of Fiserv's common stock was $47.32 per share. |
(5) | This Form 4 reports the crediting of units under the Plan on December 31, 2008 in respect of $17,500 of deferred compensation. On December 31, 2008, the closing price of Fiserv's common stock was $36.37 share. |
(6) | This Form 4 reports the crediting of units under the Plan on March 31, 2009 in respect of $17,500 of deferred compensation. On March 31, 2009, the closing price of Fiserv's common stock was $36.46 per share. |