SEC Form 4 
FORM 4	UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940 	  
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	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).			
1. Name and Address of Reporting Person*
Bisignano Frank	

(Last)	(First)	(Middle)	
255 FISERV DRIVE	

(Street) 
BROOKFIELD	WI	53045	

(City)	(State)	(Zip)	
	2. Issuer Name and Ticker or Trading Symbol 
FISERV INC [ FISV ] 	5. Relationship of Reporting Person(s) to Issuer 
(Check all applicable) 
X	Director		10% Owner	
X	Officer (give title below)		Other (specify below)	
President and COO	
		
	3. Date of Earliest Transaction (Month/Day/Year)
07/29/2019 		
	4. If Amendment, Date of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line) 
X	Form filed by One Reporting Person	
	Form filed by More than One Reporting Person	
	
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned	
1. Title of Security (Instr. 3) 	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8) 	4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 	5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 	7. Nature of Indirect Beneficial Ownership (Instr. 4) 	
			Code	V	Amount	(A) or (D)	Price				
Common Stock	07/29/2019		A		2,727,139(1)(2)(3)(4)(5)(6) 	A	(1)(2) 	2,727,139	D		
Common Stock	07/29/2019		A		143,349(7) 	A	$0.00 	2,870,488	D		
Common Stock	07/29/2019		A		31,838(1) 	A	(1)	31,838	I	By Trust(8) 	
Common Stock	07/29/2019		A		83,160(1) 	A	(1)	83,160	I	By Trust(9) 	
Common Stock	07/29/2019		A		575(1) 	A	(1)	575	I	By Trust(10) 	
Common Stock	07/29/2019		A		7,817(1) 	A	(1)	7,817	I	By Spouse	
Common Stock	07/29/2019		A		4,602(1) 	A	(1)	4,602	I	See Footnote(11) 	
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) 	
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 Securities Underlying Derivative Security (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: 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					
Employee Stock Option (right to buy)	$36.54 	07/29/2019		A		2,519,708		(12) 	05/07/2023	Common Stock	2,519,708	(13)	2,519,708	D		
Employee Stock Option (right to buy)	$41.75 	07/29/2019		A		71,893		(12) 	02/10/2024	Common Stock	71,893	(13)	71,893	D		
Employee Stock Option (right to buy)	$46.97 	07/29/2019		A		109,278		(12) 	01/28/2025	Common Stock	109,278	(13)	109,278	D		
Employee Stock Option (right to buy)	$52.81 	07/29/2019		A		223,669		(14) 	10/15/2025	Common Stock	223,669	(13)	223,669	D		
Employee Stock Option (right to buy)	$52.81 	07/29/2019		A		447,339		(15) 	10/15/2025	Common Stock	447,339	(13)	447,339	D		
Employee Stock Option (right to buy)	$41.33 	07/29/2019		A		126,427		(12) 	02/24/2026	Common Stock	126,427	(13)	126,427	D		
Explanation of Responses:	
1. Reflects shares of common stock, par value $0.01, of Fiserv, Inc. (the "Issuer") acquired on July 29, 2019, upon the completion of the merger (the "Merger") of 300 Holdings, Inc., a wholly owned subsidiary of the Issuer, with and into First Data Corporation ("First Data"), pursuant to the Agreement and Plan of Merger, dated as of January 16, 2019 (the "Merger Agreement"). At the effective time of the Merger (the "Effective Time"), each share of First Data Class A common stock and First Data Class B common stock (the "First Data common stock") issued and outstanding immediately prior to the Effective Time (other than certain shares) was converted into the right to receive 0.303 of a share (the "Exchange Ratio") of the Issuer's common stock, with cash payable in lieu of any fractional share of the Issuer's common stock.	
2. Consists of (i) 979,758 shares of the Issuer's common stock acquired upon the completion of the Merger, (ii) 95,858 shares of the Issuer's restricted stock subject to time-based vesting, which were converted in the Merger from awards denominated in shares of First Data common stock based on the Exchange Ratio (rounded to the nearest whole number), (iii) 343,665 restricted stock units of the Issuer subject to time-based vesting and 1,212,000 restricted stock units of the Issuer subject to time-based vesting with an accelerated vesting performance condition, all of which were converted in the Merger from units denominated in shares of First Data common stock based on the Exchange Ratio (rounded to the nearest whole number), and (iv) 95,858 shares of the Issuer's restricted stock subject to performance-vesting, which were converted in the Merger from awards denominated in shares of First Data common stock based on the Exchange Ratio (rounded to the nearest whole number).	
3. As converted and as applicable, restricted stock units and shares of restricted stock will generally continue to be governed by the same terms and conditions as were applicable at the Effective Time, except that the shares of restricted stock subject to performance-vesting will be eligible to vest upon satisfaction of an adjusted performance condition based on a target price per share of the Issuer's common stock equal to $32.00 divided by the Exchange Ratio, in each case, in accordance with the Merger Agreement.	
4. Of the 95,858 shares of restricted stock subject to time-based vesting, half will vest on each of December 31, 2019 and 2020.	
5. The 343,665 restricted stock units subject to time-based vesting will vest as follows: 105,158 on February 15, 2020; 56,697 on February 20, 2020; 130,709 on February 15, 2021; and 51,101 on February 15, 2022.	
6. The 1,212,000 unvested restricted stock units subject to time-based vesting with an accelerated vesting performance condition are part of an original award amount of 1,515,000 restricted stock units on an as converted basis (the "original award amount"). Twenty percent of the original award amount: (i) vested on August 15, 2018 and (ii) will vest on August 15, 2019. The remaining unvested restricted stock units will vest in an amount equal to 14.2857% of the original award amount on August 15, 2020 and on each subsequent 15th day of August (each, a "vesting period") with any remaining shares vesting on August 15, 2024; provided that, if for 10 consecutive trading days during a vesting period, the closing price of the Issuer's common stock has met or exceeded a share price corresponding to a 15% cumulative annual increase over the quotient of $17.89 divided by the Exchange Ratio, then the annual vesting percentage on that vesting date will increase to 20%.	
7. These restricted stock units were granted to the Reporting Person pursuant to his employment agreement, dated January 16, 2019, with the Issuer. One-third of these restricted stock units vest on each anniversary of the grant date.	
8. Held by the Frank J. Bisignano 2016 Grantor Retained Annuity Trust.	
9. Held by the Frank J. Bisignano 2017 Grantor Retained Annuity Trust.	
10. Held by a revocable trust.	
11. These shares are held in accounts for the benefit of the Reporting Person's children.	
12. These stock options are fully vested and exercisable.	
13. Pursuant to the Merger Agreement and immediately after the Effective Time, each First Data stock option was converted into a stock option to purchase a number of shares of the Issuer's common stock equal to the product (rounded down to the nearest whole number) of (a) the number of shares of First Data common stock subject to such option and (b) the Exchange Ratio, at an exercise price per share (rounded up to the nearest whole cent) equal to (i) the exercise price per share of such First Data stock option divided by (ii) the Exchange Ratio. As converted, the stock options will generally continue to be governed by the same terms and conditions as were applicable prior to the Effective Time, except that certain of the stock options will be eligible to vest upon satisfaction of an adjusted performance condition.	
14. These stock options will become vested and exercisable upon satisfaction of an adjusted performance condition based on a target price per share of the Issuer's common stock equal to $32.00 divided by the Exchange Ratio, in accordance with the Merger Agreement.	
15. Of these stock options, (i) half are vested and exercisable and (ii) half will become vested and exercisable in equal portions on each of December 31, 2019 and 2020. The vested options became vested pursuant to their terms in equal portions on each of December 31, 2017 and 2018.	
Remarks:	
	
	/s/ Lynn S. McCreary (attorney-in-fact)	07/30/2019	
	** Signature of Reporting Person	Date	
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.	
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