Frank Bisignano - Jan 29, 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
Jan 29, 2023
Transactions value $
-$1,751,867
Form type
4
Date filed
1/30/2023, 03:47 PM
Previous filing
Aug 16, 2022
Next filing
Feb 16, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction FI Common Stock Gift $0 -94 0% $0.00 2.81M Aug 23, 2022 Direct
transaction FI Common Stock Gift $0 -7.24K -0.25% $0.00 2.84M Sep 12, 2022 Direct F1
transaction FI Common Stock Gift $0 -3.09K -0.11% $0.00 2.84M Nov 1, 2022 Direct
transaction FI Common Stock Gift $0 -479 -0.02% $0.00 2.81M Dec 2, 2022 Direct F2
transaction FI Common Stock Gift $0 -511 -0.02% $0.00 2.81M Dec 16, 2022 Direct
transaction FI Common Stock Tax liability -$1.75M -16.5K -0.59% $106.49 2.79M Jan 29, 2023 Direct F3
holding FI Common Stock 4.29K Jan 29, 2023 See Footnote F4, F5
holding FI Common Stock 81.6K Jan 29, 2023 By Trust F6, F7
holding FI Common Stock 30K Jan 29, 2023 See Footnote F8
holding FI Common Stock 730 Jan 29, 2023 See Footnote F5
holding FI Common Stock 14.9K Jan 29, 2023 By Spouse
holding FI Common Stock 300 Jan 29, 2023 See Footnote F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Includes 38,953 shares acquired upon distribution from the Frank J. Bisignano 2020 Grantor Retained Annuity Trust on September 9, 2022.
F2 Includes the contribution of 30,000 shares to the Frank J. Bisignano 2022 Grantor Retained Annuity Trust on November 22, 2022.
F3 Reflects payment of tax liability by withholding securities incident to vesting of restricted stock units.
F4 Includes 2,419 shares acquired upon distribution from the Frank J. Bisignano 2020 Grantor Retained Annuity Trust on September 9, 2022.
F5 These shares are held in an account, of which the reporting person acts as custodian, for the benefit of a minor.
F6 Includes 4,837 shares acquired upon distribution from the Frank J. Bisignano 2020 Grantor Retained Annuity Trust on September 9, 2022.
F7 These shares are held by trusts, of which the reporting person serves as trustee, for the benefit of the reporting person's children.
F8 Held by the Frank J. Bisignano 2022 Grantor Retained Annuity Trust.