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
 
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
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*
LANSING WILLIAM J

(Last) (First) (Middle)
5 WEST MENDENHALL, SUITE 105

(Street)
BOZEMAN MT 59715

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FAIR ISAAC CORP [ FICO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
3. Date of Earliest Transaction (Month/Day/Year)
12/09/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/10/2022 M 53,803 A $0.00 269,342 I Lansing Revocable Trust
Common Stock 12/10/2022 F 24,488(1) D $615.45 244,854 I Lansing Revocable Trust
Common Stock 94,890 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (2) 12/09/2022 A 12,585 12/09/2023(7) (3) Common Stock 12,585 $0.00 12,585 D
Market Share Units (4) 12/10/2022 M 12,549 12/10/2022 (3) Common Stock 12,549 $0.00 0 D
Market Share Units (4) 12/10/2022 M 3,601 12/10/2022 (3) Common Stock 3,601 $0.00 3,399 D
Market Share Units (4) 12/10/2022 M 8,322 12/10/2022 (3) Common Stock 8,322 $0.00 8,322 D
Performance Share Units (5) 12/10/2022 M 6,820 12/10/2020(6) (3) Common Stock 6,820 $0.00 0 D
Performance Share Units (5) 12/10/2022 M 6,796 12/10/2021(6) (3) Common Stock 6,796 $0.00 6,798 D
Performance Share Units (5) 12/10/2022 M 8,127 12/10/2022(6) (3) Common Stock 8,127 $0.00 16,253 D
Restricted Stock Units (2) 12/10/2022 M 1,918 12/10/2020(7) (3) Common Stock 1,918 $0.00 1,918 D
Restricted Stock Units (2) 12/10/2022 M 2,549 12/10/2021(7) (3) Common Stock 2,549 $0.00 5,098 D
Restricted Stock Units (2) 12/10/2022 M 3,121 12/10/2022(7) (3) Common Stock 3,121 $0.00 9,362 D
Explanation of Responses:
1. Shares withheld by Company for payment of taxes due at vesting from earned market share units, earned performance share units and restricted stock units.
2. Each restricted stock unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment.
3. No expiration date.
4. Each earned market share unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment.
5. Each earned performance share unit represents a right to receive one share of Fair Isaac common stock contingent upon continued employment.
6. 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.
7. 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.
Remarks:
/s/ Carrie H. Darling, Attorney-in-fact 12/13/2022
** 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.