0000899243-19-001221.txt : 20190115
0000899243-19-001221.hdr.sgml : 20190115
20190115162634
ACCESSION NUMBER: 0000899243-19-001221
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: York Jeffrey D.
CENTRAL INDEX KEY: 0001594541
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 19527343
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
0001594541
York Jeffrey D.
7501 W. MEMORIAL ROAD
OKLAHOMA CITY
OK
73142
0
1
0
0
Chief Sales Officer
Common Stock
2018-12-10
5
G
0
22000
0.00
D
0
I
By York Charitable Remainder Unitrust
Common Stock
563231
I
By JCY Holdings, LP
Common Stock
157097
D
The York Charitable Remainder Unitrust is a charitable remainder trust of which the reporting person and his spouse are co-trustees and of which the reporting person and his spouse are beneficiaries.
The general partner of JCY Holdings, LP ("JCY Holdings") is JCY General LLC ("JCY General") and the limited partners of JCY Holdings are the reporting person and his spouse. Each of the reporting person and his spouse owns 50% of the membership interests of JCY General.
Includes 24,000 unvested shares of restricted stock.
/s/ Jeffrey D. York
2019-01-11