0001214659-21-013003.txt : 20211210
0001214659-21-013003.hdr.sgml : 20211210
20211210172556
ACCESSION NUMBER: 0001214659-21-013003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211208
FILED AS OF DATE: 20211210
DATE AS OF CHANGE: 20211210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Moldt Claus
CENTRAL INDEX KEY: 0001786225
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11689
FILM NUMBER: 211486372
MAIL ADDRESS:
STREET 1: 181 METRO DR.
STREET 2: #600
CITY: SAN JOSE
STATE: CA
ZIP: 95110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FAIR ISAAC CORP
CENTRAL INDEX KEY: 0000814547
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 941499887
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 5 WEST MENDENHALL
STREET 2: SUITES 105
CITY: BOZEMAN
STATE: MT
ZIP: 59715
BUSINESS PHONE: (406) 982-7276
MAIL ADDRESS:
STREET 1: 5 WEST MENDENHALL
STREET 2: SUITES 105
CITY: BOZEMAN
STATE: MT
ZIP: 59715
FORMER COMPANY:
FORMER CONFORMED NAME: FAIR ISAAC & COMPANY INC
DATE OF NAME CHANGE: 19920703
4
1
marketforms-54381.xml
PRIMARY DOCUMENT
X0306
4
2021-12-08
0000814547
FAIR ISAAC CORP
FICO
0001786225
Moldt Claus
5 WEST MENDENHALL, SUITE 105
BOZEMAN
MT
59715
false
true
false
false
Executive Vice President & CTO
Common Stock
2021-12-08
4
M
false
1646
0
A
10539.04
D
Common Stock
2021-12-08
4
F
false
731
404.40
D
9808.04
D
Restricted Stock Units
2021-12-08
4
M
false
1646
0.00
D
2018-12-08
Common Stock
1646
0
D
Shares withheld by Company for payment of taxes due at vesting from earned performance share units, earned market share units, and restricted stock units.
Each restricted stock unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment.
The restricted stock units vest in four equal annual installments commencing on this date and vested shares will be delivered to the reporting person as soon as practicable thereafter.
No expiration date.
/s/ Carrie H. Darling, Attorney-in-fact
2021-12-10