0000899243-17-023943.txt : 20171010 0000899243-17-023943.hdr.sgml : 20171009 20171010160537 ACCESSION NUMBER: 0000899243-17-023943 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171009 FILED AS OF DATE: 20171010 DATE AS OF CHANGE: 20171010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kerber William X. III CENTRAL INDEX KEY: 0001594543 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 171130532 MAIL ADDRESS: STREET 1: 7501 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paycom Software, Inc. CENTRAL INDEX KEY: 0001590955 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 800957485 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7501 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 BUSINESS PHONE: (405) 722-6900 MAIL ADDRESS: STREET 1: 7501 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-09 1 0001590955 Paycom Software, Inc. PAYC 0001594543 Kerber William X. III 7501 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 0 1 0 1 See Remarks See Remarks Common Stock 2017-10-09 4 D 0 50261 0.00 D 414196 D Common Stock 339577 I By WK-EGI, Inc. Represents shares of unvested restricted stock forfeited as a result of the reporting person's resignation from his position as the Chief Information Officer of Paycom Software, Inc. Represents shares of common stock owned by WK-EGI, Inc. ("WK-EGI"). The reporting person is the sole director of WK-EGI, and WK-EGI is owned by the reporting person and certain trusts for the benefit of the reporting person's children, each of whom shares his household. The reporting person may be deemed to beneficially own the shares of common stock owned by WK-EGI. The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein. Neither the filing of this report nor anything herein shall be deemed an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose, the beneficial owner of such securities. Chief Information Officer Resigned 10/09/2017 /s/ William X. Kerber III 2017-10-09