0001214659-21-013105.txt : 20211214 0001214659-21-013105.hdr.sgml : 20211214 20211214171636 ACCESSION NUMBER: 0001214659-21-013105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211210 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEAL RICHARD CENTRAL INDEX KEY: 0001205411 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11689 FILM NUMBER: 211491928 MAIL ADDRESS: STREET 1: 181 METRO DRIVE 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-54607.xml PRIMARY DOCUMENT X0306 4 2021-12-10 0000814547 FAIR ISAAC CORP FICO 0001205411 DEAL RICHARD 5 WEST MENDENHALL, SUITE 105 BOZEMAN MT 59715 false true false false Executive Vice President Common Stock 2021-12-10 4 M false 11544 0.00 A 65240 I The Richard S. Deal Revocable Trust Common Stock 2021-12-10 4 F false 5491 407.49 D 59749 I The Richard S. Deal Revocable Trust Market Share Units 2021-12-10 4 M false 2369 0.00 D 2021-12-10 Common Stock 2369 0 D Performance Share Units 2021-12-10 4 M false 2944 0.00 D 2019-12-10 Common Stock 2944 0 D Performance Share Units 2021-12-10 4 M false 1786 0.00 D 2020-12-10 Common Stock 1786 1786 D Performance Share Units 2021-12-10 4 M false 1942 0.00 D 2021-12-10 Common Stock 1942 3884 D Restricted Stock Units 2021-12-10 4 M false 1104 0.00 D 2019-12-10 Common Stock 1104 1104 D Restricted Stock Units 2021-12-10 4 M false 670 0.00 D 2020-12-10 Common Stock 670 1340 D Restricted Stock Units 2021-12-10 4 M false 729 0.00 D 2021-12-10 Common Stock 729 2184 D Restricted Stock Units 2021-12-10 4 A false 3567 0.00 A 2022-12-10 Common Stock 3567 3567 D Shares withheld by Company for payment of taxes due at vesting from earned market share units, earned performance share units and restricted stock units. Each earned market share unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment. No expiration date. Each earned performance share unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment. The performance share units vest in three equal annual installments commencing on this date and one share will be delivered to the reporting person for each vested unit as soon as practicable thereafter. 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. /s/ Carrie H. Darling, Attorney-in-fact 2021-12-14