0000899243-22-005277.txt : 20220208 0000899243-22-005277.hdr.sgml : 20220208 20220208190027 ACCESSION NUMBER: 0000899243-22-005277 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Faurot Holly CENTRAL INDEX KEY: 0001855633 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 22603301 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 2021-12-31 0 0 0 0001590955 Paycom Software, Inc. PAYC 0001855633 Faurot Holly 7501 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 0 1 0 0 Chief Sales Officer Common Stock 2021-12-13 5 G 0 240 0.00 D 45374 D Common Stock 823 I By spouse Includes 4,723 unvested shares of restricted stock. /s/ Holly Faurot 2022-02-08