Rahul Gupta Form 4 FISERV / RAHUL GUPTA ownership change

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^*

GUPTA RAHUL

(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)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
Group President

3. Date of Earliest Transaction (Month/Day/Year)
05/27/2016

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	05/27/2016		M		14,444	A	$23.85	95,798(1)	D
Common Stock	05/27/2016		F		8,819(2)	D	$104.97	86,979	D
Common Stock	05/27/2016		M		15,364	A	$30.86	102,343	D
Common Stock	05/27/2016		F		9,897(2)	D	$104.98	92,446	D
Common Stock	05/27/2016		M		25,528	A	$32.64	117,974	D
Common Stock	05/27/2016		F		16,662(2)	D	$104.99	101,312	D
Common Stock	05/27/2016		M		27,860	A	$40.35	129,172	D
Common Stock	05/27/2016		F		19,215(2)	D	$104.99	109,957	D
Common Stock	05/27/2016		S		28,603	D	$105.01(3)	81,354	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 (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
Stock Option (right to buy)	$23.85	05/27/2016		M			14,444	02/24/2011(4)	02/24/2020	Common Stock	14,444	$0.00	0	D
Stock Option (right to buy)	$30.86	05/27/2016		M			15,364	02/23/2012(5)	02/23/2021	Common Stock	15,364	$0.00	0	D
Stock Option (right to buy)	$32.64	05/27/2016		M			25,528	02/22/2013(6)	02/22/2022	Common Stock	25,528	$0.00	0	D
Stock Option (right to buy)	$40.35	05/27/2016		M			27,860	02/20/2014(7)	02/20/2023	Common Stock	27,860	$0.00	0	D

Explanation of Responses:

1. Includes 243 shares acquired under the Fiserv, Inc. Employee Stock Purchase Plan.

2. Reflects payment of exercise price and tax liability by withholding securities incident to exercise of stock options.

3. This transaction was executed in multiple trades at prices ranging from $104.95 to $105.01. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.

4. The option vested in three equal installments on February 24, 2011, 2012 and 2013.

5. The option vested in three equal installments on February 23, 2012, 2013 and 2014.

6. The option vested in three equal installments on February 22, 2013, 2014 and 2015.

7. The option vested in three equal installments on February 20, 2014, 2015 and 2016.

Remarks:

	/s/ Lynn S. McCreary (attorney-in-fact)	06/01/2016
	** Signature of Reporting Person	Date
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