0001214659-23-011673.txt : 20230824 0001214659-23-011673.hdr.sgml : 20230824 20230824182733 ACCESSION NUMBER: 0001214659-23-011673 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230822 FILED AS OF DATE: 20230824 DATE AS OF CHANGE: 20230824 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stansbury Henry Tayloe CENTRAL INDEX KEY: 0001685953 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11689 FILM NUMBER: 231203313 MAIL ADDRESS: STREET 1: C/O COUPA SOFTWARE INC. STREET 2: 1855 S. GRANT STREET CITY: SAN MATEO STATE: CA ZIP: 94402 FORMER NAME: FORMER CONFORMED NAME: Stansbury Tayloe H. DATE OF NAME CHANGE: 20161003 FORMER NAME: FORMER CONFORMED NAME: Stansbury Tayloe - - DATE OF NAME CHANGE: 20160929 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-62267.xml PRIMARY DOCUMENT X0508 4 2023-08-22 0000814547 FAIR ISAAC CORP FICO 0001685953 Stansbury Henry Tayloe 5 WEST MENDENHALL SUITE 105 BOZEMAN MT 59715 true false false false 0 Non-Qualified Stock Options (right to buy) 843.51 2023-08-22 4 A false 745 0.00 A 2024-08-22 2030-08-21 Common Stock 745 745 D Restricted Stock Units 2023-08-22 4 A false 274 0.00 A 2024-08-22 Common Stock 274 274 D This option vests in three equal annual installments commencing on this date. Each restricted stock unit represents a right to receive one share of Fair Isaac common stock contingent upon continued service on the board. The restricted stock units vest in three 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 2023-08-24