0000899243-21-019262.txt : 20210512 0000899243-21-019262.hdr.sgml : 20210512 20210512161544 ACCESSION NUMBER: 0000899243-21-019262 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210510 FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Bradley Scott CENTRAL INDEX KEY: 0001738164 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 21915281 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 2021-05-10 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 2021-05-10 4 F 0 1617 317.20 D 14518 D Common Stock 20726 I By Bradley Scott Smith Revocable Trust, dated October 30, 2017 Represents shares of common stock of Paycom Software, Inc. (the "Issuer") withheld by the Issuer to satisfy tax withholding obligations in connection with the vesting of (i) 1,200 shares of restricted stock granted to the reporting person on October 4, 2016, (ii) 875 shares of restricted stock granted to the reporting person on April 26, 2017 and (iii) 1,565 shares of restricted stock granted to the reporting person on January 17, 2019. No shares were issued or sold in this transaction. Includes 11,063 unvested shares of restricted stock. 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 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. /s/ Bradley Scott Smith 2021-05-11