0000899243-19-001215.txt : 20190115
0000899243-19-001215.hdr.sgml : 20190115
20190115162400
ACCESSION NUMBER: 0000899243-19-001215
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181231
FILED AS OF DATE: 20190115
DATE AS OF CHANGE: 20190115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smith Bradley Scott
CENTRAL INDEX KEY: 0001738164
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 19527322
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2018-12-31
0
0
0
0001590955
Paycom Software, Inc.
PAYC
0001738164
Smith Bradley Scott
7501 W. MEMORIAL ROAD
OKLAHOMA CITY
OK
73142
0
1
0
0
Chief Information Officer
Common Stock
2018-12-04
5
G
0
2000
0.00
D
23594
I
By Bradley Scott Smith Revocable Trust, dated October 30, 2017
Common Stock
22194
D
The Bradley Scott Smith Revocable Trust, dated October 30, 2017 (the "Bradley Scott Smith Revocable Trust") is a revocable trust for the benefit of the reporting person, his spouse, and his children. The reporting person is the trustor and, with his spouse, a co-trustee of the Bradley Scott Smith Revocable Trust. Accordingly, the reporting person reports beneficial ownership of all of the shares of Paycom Software, Inc.'s common stock held by the Bradley Scott Smith Revocable Trust but disclaims beneficial ownership except to the extent of his and his spouse's pecuniary interest therein.
Includes 21,592 unvested shares of restricted stock.
/s/ Bradley Scott Smith
2019-01-15