0001144204-16-130002.txt : 20161027
0001144204-16-130002.hdr.sgml : 20161027
20161027210310
ACCESSION NUMBER: 0001144204-16-130002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161026
FILED AS OF DATE: 20161027
DATE AS OF CHANGE: 20161027
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GTY Technology Holdings Inc.
CENTRAL INDEX KEY: 0001682325
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 000000000
STATE OF INCORPORATION: E9
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1180 NORTH TOWN CENTER DRIVE,
STREET 2: SUITE 100
CITY: LAS VEGAS
STATE: NV
ZIP: 89144
BUSINESS PHONE: (702) 945-2700
MAIL ADDRESS:
STREET 1: 1180 NORTH TOWN CENTER DRIVE,
STREET 2: SUITE 100
CITY: LAS VEGAS
STATE: NV
ZIP: 89144
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: You Harry L.
CENTRAL INDEX KEY: 0001432602
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37931
FILM NUMBER: 161956783
MAIL ADDRESS:
STREET 1: EMC CORPORATION
STREET 2: 176 SOUTH STREET
CITY: HOPKINTON
STATE: MA
ZIP: 01748
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TUCCI JOSEPH M
CENTRAL INDEX KEY: 0001189198
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37931
FILM NUMBER: 161956784
MAIL ADDRESS:
STREET 1: EMC CORPORATION
STREET 2: 176 SOUTH STREET
CITY: HOPKINTON
STATE: MA
ZIP: 01748
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GREEN WILLIAM D
CENTRAL INDEX KEY: 0001232906
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37931
FILM NUMBER: 161956785
MAIL ADDRESS:
STREET 1: C/O ACCENTURE
STREET 2: 161 N CLARK STREET
CITY: CHICAGO
STATE: IL
ZIP: 60601
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GTY Investors, LLC
CENTRAL INDEX KEY: 0001682342
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37931
FILM NUMBER: 161956786
BUSINESS ADDRESS:
STREET 1: 200 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10166
BUSINESS PHONE: (212) 294-6700
MAIL ADDRESS:
STREET 1: 200 PARK AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10166
4
1
v451570_4.xml
OWNERSHIP DOCUMENT
X0306
4
2016-10-26
0
0001682325
GTY Technology Holdings Inc.
GTYH
0001682342
GTY Investors, LLC
C/O GTY TECHNOLOGY HOLDINGS INC.
1180 NORTH TOWN CENTER DRIVE, SUITE 100
LAS VEGAS
NV
89144
0
0
1
0
0001232906
GREEN WILLIAM D
C/O GTY TECHNOLOGY HOLDINGS INC.
1180 NORTH TOWN CENTER DRIVE, SUITE 100
LAS VEGAS
NV
89144
1
1
1
0
Co-CEO and Co-Chairman
0001189198
TUCCI JOSEPH M
C/O GTY TECHNOLOGY HOLDINGS INC.
1180 NORTH TOWN CENTER DRIVE, SUITE 100
LAS VEGAS
NV
89144
1
1
1
0
Co-CEO and Co-Chairman
0001432602
You Harry L.
C/O GTY TECHNOLOGY HOLDINGS INC.
1180 NORTH TOWN CENTER DRIVE, SUITE 100
LAS VEGAS
NV
89144
1
1
1
0
President and CFO
Class B Ordinary Shares
2016-10-26
4
J
0
2280000
0
A
Class A Ordinary Shares
2280000
13680000
D
The Class B Ordinary Shares are convertible for the Issuer's Class A Ordinary Shares as described under the heading "Description of Securities - Founder Shares" in the Issuer's registration statement on Form S-1 (File No. 333-213809) and have no expiration date.
On October 26, 2016, in connection with the increase in the size of its initial public offering, the Issuer effected a share capitalization to maintain the number of Class B Ordinary Shares at 20.0% of the Issuer's issued and outstanding ordinary shares upon the consummation of its initial public offering.
Includes 1,800,000 Class B Ordinary Shares that are subject to forfeiture depending on the extent to which the underwriters in the Issuer's initial public offering do not exercise their over-allotment option.
The securities are held directly by GTY Investors, LLC. Messrs. Green, Tucci and You are the managers and, individually and pursuant to trusts and limited liability companies, are among the members of GTY Investors, LLC and share voting and dispositive power over the securities held directly by GTY Investors, LLC. As a result, each of GTY Investors, LLC and Messrs. Green, Tucci and You (collectively, the "Reporting Persons") may be deemed to have or share beneficial ownership of the securities held directly by GTY Investors, LLC. Each of the Reporting Persons disclaims beneficial ownership of such securities except to the extent of its or his pecuniary interest therein, and this Report shall not be deemed an admission that the Reporting Persons are the beneficial owners of the securities for purposes of Section 16 or for any other purpose.
/s/ Joel L. Rubinstein, Attorney-in-Fact for GTY Investors, LLC
2016-10-27
/s/ Joel L. Rubinstein, Attorney-in-Fact for William D. Green
2016-10-27
/s/ Joel L. Rubinstein, Attorney-in-Fact for Joseph M. Tucci
2016-10-27
/s/ Joel L. Rubinstein, Attorney-in-Fact for Harry L. You
2016-10-27