Sec Form 4 Filing - KEARNEY DANIEL P @ FISERV INC - 2012-11-21

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
KEARNEY DANIEL P
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
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
255 FISERV DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
11/21/2012
(Street)
BROOKFIELD, WI53045
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 11/21/2012 M 520 A $ 30.76 10,071 D
Common Stock 11/21/2012 S 520 D $ 74.06 9,551 D
Common Stock 11/21/2012 M 403 A $ 39.67 9,954 D
Common Stock 11/21/2012 S 403 D $ 74.06 9,551 D
Common Stock 11/21/2012 M 447 A $ 35.79 9,998 D
Common Stock 11/21/2012 S 447 D $ 74.06 9,551 D
Common Stock 11/21/2012 M 413 A $ 38.73 9,964 D
Common Stock 11/21/2012 S 413 D $ 74.06 9,551 D
Common Stock 11/21/2012 M 459 A $ 34.8 10,010 D
Common Stock 11/21/2012 S 459 D $ 74.06 9,551 D
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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
Stock Option (right to buy) $ 30.76 11/21/2012 M 520 ( 1 ) 05/20/2004 05/20/2013 Common Stock 520 $ 0 0 D
Stock Option (right to buy) $ 39.67 11/21/2012 M 403 ( 2 ) 08/19/2004 08/19/2013 Common Stock 403 $ 0 0 D
Stock Option (right to buy) $ 35.79 11/21/2012 M 447 ( 3 ) 11/19/2004 11/19/2013 Common Stock 447 $ 0 0 D
Stock Option (right to buy) $ 38.73 11/21/2012 M 413 ( 4 ) 02/18/2005 02/18/2014 Common Stock 413 $ 0 0 D
Stock Option (right to buy) $ 34.8 11/21/2012 M 459 ( 5 ) 04/06/2005 04/06/2014 Common Stock 459 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
KEARNEY DANIEL P
255 FISERV DRIVE
BROOKFIELD, WI53045
X
Signatures
/s/ Charles W. Sprague (attorney-in-fact) 11/26/2012
Signature of Reporting Person Date
Explanation of Responses:
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
( 1 )The option vested in five equal annual installments beginning May 20, 2004 and is due to expire May 20, 2013.
( 2 )The option vested in five equal annual installments beginning August 19, 2004 and is due to expire August 19, 2013.
( 3 )The option vested in five equal annual installments beginning November 19, 2004 and is due to expire November 19, 2013.
( 4 )The option vested in five equal annual installments beginning February 18, 2005 and is due to expire February 18, 2014.
( 5 )The option vested in five equal annual installments beginning April 06, 2005 and is due to expire April 06, 2014.
* 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).

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