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