-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, I6aw71nfsfm6igNHH6P6UGw5TWVJ7iydps1snRs6Qq3QXVRRBY8ebVCoHNa4+zF0 zjIm+hX8xwnH/ibmNuvF0g== 0001209191-04-059338.txt : 20041223 0001209191-04-059338.hdr.sgml : 20041223 20041223151751 ACCESSION NUMBER: 0001209191-04-059338 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041222 FILED AS OF DATE: 20041223 DATE AS OF CHANGE: 20041223 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: 200 SMITH RANCH ROAD CITY: SAN RAFAEL STATE: CA ZIP: 94903 BUSINESS PHONE: 4154722211 MAIL ADDRESS: STREET 1: 3661 VALLEY CENTRE DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92130 FORMER COMPANY: FORMER CONFORMED NAME: FAIR ISAAC & COMPANY INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KASSARJIAN RAFFI M CENTRAL INDEX KEY: 0001278236 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11689 FILM NUMBER: 041224063 BUSINESS ADDRESS: BUSINESS PHONE: 4154466008 MAIL ADDRESS: STREET 1: FAIR ISAAC CORP STREET 2: 200 SMITH RANCH RD CITY: SAN RAFAEL STATE: CA ZIP: 94903 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-22 0 0000814547 FAIR ISAAC CORP FIC 0001278236 KASSARJIAN RAFFI M 901 MARQUETTE AVENUE SUITE 3200 MINNEAPOLIS MN 55402 0 1 0 0 Vice President Common Stock 2004-12-22 4 M 0 10000 12.4259 A 17625 D Common Stock 2004-12-22 4 S 0 10000 35.90 D 7625 D Non-Qualified Stock Option (right to buy) 12.4259 2004-12-22 4 M 0 10000 0.00 D 2001-05-17 2010-05-17 Common Stock 10000 27249 D Sold pursuant to insider's 10b5-1 plan. This option vests in four equal annual installments commencing on this date. /s/ Raffi M. Kassarjian 2004-12-22 -----END PRIVACY-ENHANCED MESSAGE-----