0001144204-16-130004.txt : 20161027 0001144204-16-130004.hdr.sgml : 20161027 20161027211553 ACCESSION NUMBER: 0001144204-16-130004 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: ROHLEDER STEPHEN J CENTRAL INDEX KEY: 0001230066 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37931 FILM NUMBER: 161956790 MAIL ADDRESS: STREET 1: C/O ACCENTURE STREET 2: 161 N. CLARK STREET CITY: CHICAGO STATE: IL ZIP: 60601 4 1 v451574_4.xml OWNERSHIP DOCUMENT X0306 4 2016-10-26 0 0001682325 GTY Technology Holdings Inc. GTYH 0001230066 ROHLEDER STEPHEN J C/O GTY TECHNOLOGY HOLDINGS INC. 1180 NORTH TOWN CENTER DRIVE, SUITE 100 LAS VEGAS NV 89144 1 0 0 0 Class B Ordinary Shares 2016-10-26 4 J 0 5000 0 A Class A Ordinary Shares 5000 30000 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. /s/ Joel L. Rubinstein, Attorney-in-Fact 2016-10-27