SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
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3235-0287 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FAIR ISAAC CORP
[ FIC ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 07/14/2003
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock |
07/14/2003 |
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S
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164,900 |
D |
53.6298 |
4,642,920 |
I
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Direct
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Common Stock |
07/14/2003 |
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S
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35,500 |
D |
53.6298 |
4,642,920 |
I
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Direct
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
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See Attached Signature Page |
07/15/2003 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
EXHIBIT 99
Joint Filer Information
Designated Filer: Blum Capital Partners, L.P.
Statement for Month/Day/Year: July 14, 2003
Issuer & Symbol: Fair Isaac Corporation (FIC)
Address of each Reporting Person for this Form 4:
909 Montgomery Street, Suite 400, San Francisco, CA 94133
Relationship to Issuer of each Reporting Person: 10% Owner
Signatures
After reasonable inquiry and to the best of our knowledge and
belief, the undersigned certify that the information set forth
in this statement is true, complete and correct.
July 15, 2003.
RICHARD C. BLUM & ASSOCIATES, INC. BLUM CAPITAL PARTNERS, L.P.
By Richard C. Blum & Associates, Inc.,
its general partner
By /s/ Murray A. Indick By /s/ Murray A. Indick
Murray A. Indick, Partner, Murray A. Indick, Partner,
General Counsel General Counsel
and Secretary and Secretary
BK CAPITAL PARTNERS IV, L.P.
STINSON CAPITAL PARTNERS, L.P.
STINSON CAPITAL PARTNERS II, L.P.
STINSON CAPITAL PARTNERS III, L.P.
STINSON CAPITAL PARTNERS (QP), L.P.
By BLUM CAPITAL PARTNERS, L.P.,
its general partner
By Richard C. Blum & Associates, Inc.,
its general partner
By /s/ Murray A. Indick
Murray A. Indick, Partner, General Counsel and Secretary
STINSON CAPITAL FUND (CAYMAN), LTD.
By BLUM CAPITAL PARTNERS, L.P., its
investment advisor
By Richard C. Blum & Associates, Inc.,
its general partner
By /s/ Murray A. Indick
Murray A. Indick, Partner, General Counsel and Secretary
RICHARD C. BLUM
By /s/ Murray A. Indick
Murray A. Indick, Attorney-in-Fact
EXHIBIT 99
Joint Filer Information (cont.)
Designated Filer: Blum Capital Partners, L.P.
Statement for Month/Day/Year: July 14, 2003
Issuer & Symbol: Fair Isaac Corporation (FIC)
Address of each Reporting Person for this Form 4:
909 Montgomery Street, Suite 400, San Francisco, CA 94133
Relationship to Issuer of each Reporting Person: 10% Owner
BLUM STRATEGIC GP, L.L.C. BLUM STRATEGIC PARTNERS, L.P.
By BLUM STRATEGIC GP, L.L.C.,
its general partner
By /s/ Murray A. Indick By /s/ Murray A. Indick
Murray A. Indick, Member Murray A. Indick, Member
BLUM STRATEGIC GP II, L.L.C. BLUM STRATEGIC PARTNERS II, L.P.
By BLUM STRATEGIC GP II, L.L.C.,
its general partner
By /s/ Murray A. Indick By /s/ Murray A. Indick
Murray A. Indick, Member Murray A. Indick, Member