UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Non-Qualified Stock Options (right to buy) | 11/10/2006(2) | 11/14/2014 | Common Stock | 75,000 | $ 32.01 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
BRAUN STEVEN J 901 MARQUETTE AVENUE SUITE 3200 MINNEAPOLIS, MN 55402 |
 |  |  Vice President |  |
/s/ Andrea M. Fike, Attorney-in-fact | 02/04/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Securities represent a restricted stock award granted on November 15, 2004. The terms of the award provide that the stock be subject to forfeiture until vested. 50% of the shares vest on November 10, 2006 and the remaining 50% of the shares vest on November 10, 2008, provided Mr. Braun is still employed by Fair Isaac Corporation on the respective vesting dates. |
(2) | 50% of the options vest on November 10, 2006, and the remaining 50% of the options vest on November 10, 2008. |