SEC Contract Filing

Filing Date: 2017-12-01

Document Content:
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<TYPE>EX-10.3
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<DESCRIPTION>EX-10.3
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 <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="right"><B>Exhibit 10.3 </B></P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>FORM OF FISERV, INC. </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman" ALIGN="center"><B>AMENDMENT TO STOCK OPTION AGREEMENT </B></P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">This
Amendment revises your Non-Qualified Stock Option Agreement(s) (&#147;Option Agreements&#148;) by replacing Section&nbsp;6(b) in its entirety with the following: </P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left">6.</TD>
<TD ALIGN="left" VALIGN="top"><U>Termination of Directorship.</U> </TD></TR></TABLE> <P STYLE="margin-top:12pt; margin-bottom:0pt; margin-left:4%; text-indent:4%; font-size:10pt; font-family:Times New Roman">. . . </P>
<P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="5%" VALIGN="top" ALIGN="left">(b)</TD>
<TD ALIGN="left" VALIGN="top"><U>Deadline for Exercise</U>. </TD></TR></TABLE> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left">(i)</TD>
<TD ALIGN="left" VALIGN="top">If you cease to be a Director for any reason other than for Cause, you are (or in the event your cessation is by reason of your death or Disability resulting in judicial appointment of a guardian ad litem, administrator
or other legal representative, the executor or administrator of your estate, any person who shall have acquired the Option through bequest or inheritance or such guardian ad litem, administrator or other legal representative is) entitled to exercise
the Option per the terms contained herein prior to up to the five year anniversary of your cessation of service as a Director. </TD></TR></TABLE> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TD WIDTH="4%" VALIGN="top" ALIGN="left">(ii)</TD>
<TD ALIGN="left" VALIGN="top">If you die within the exercise period described in subsection (i)&nbsp;above, your executor, the administrator of your estate or your beneficiary may exercise the Option prior to the later of (A)&nbsp;up to one year
after the date of your death or (B)&nbsp;up to five years following your cessation of service as a Director. </TD></TR></TABLE> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">This amendment shall be
effective as of November&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;, 2017. All other terms and conditions set forth in your Option Agreements remain in full force and effect without change. </P>
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<TD VALIGN="top" COLSPAN="3"><B>FISERV, INC.</B></TD></TR>
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<TD VALIGN="top">By</TD>
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<TD VALIGN="top"><FONT STYLE="font-size:10pt">Name:</FONT></TD>
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<TD VALIGN="top"><FONT STYLE="font-size:10pt">Title:</FONT></TD>
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<TD VALIGN="top" COLSPAN="3"><B>Agreed and Acknowledged by Participant:</B></TD></TR>
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<TD VALIGN="top" COLSPAN="3"><FONT STYLE="font-size:10pt">Print Name</FONT></TD></TR>
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