0000899243-23-003125.txt : 20230201 0000899243-23-003125.hdr.sgml : 20230201 20230201161035 ACCESSION NUMBER: 0000899243-23-003125 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230201 DATE AS OF CHANGE: 20230201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Richison Chad R. CENTRAL INDEX KEY: 0001594487 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 23576853 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 2022-12-31 0 0 0 0001590955 Paycom Software, Inc. PAYC 0001594487 Richison Chad R. 7501 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 1 1 1 0 President and CEO Common Stock 2022-08-16 5 G 0 12500 0.00 D 4714944 D Common Stock 2022-08-16 5 G 0 12500 0.00 A 12500 I By Charis Michelle Linfante Living Trust Common Stock 2022-11-29 5 G 0 4208 0.00 D 4710736 D Common Stock 2022-11-29 5 G 0 48 0.00 A 173 I By Ava L. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 Common Stock 2022-11-29 5 G 0 48 0.00 A 173 I By Ian D. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 Common Stock 2022-11-29 5 G 0 932 0.00 A 932 I By Lane West Richison 2022 Irrevocable Trust Common Stock 2022-11-29 5 G 0 932 0.00 A 932 I By Kase Gabriel Richison 2022 Irrevocable Trust Common Stock 2022-11-29 5 G 0 932 0.00 A 932 I By Sage Elizabeth Richison 2022 Irrevocable Trust Common Stock 2022-11-29 5 G 0 932 0.00 A 932 I By Charles Banks Pederson 2022 Irrevocable Trust Common Stock 3670999 I By Ernest Group, Inc. Common Stock 56 I By Abrie R. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 Includes 1,610,000 unvested shares of restricted stock. Represents shares received pursuant to a gift from the reporting person. Represents shares of common stock owned by the Charis Michelle Linfante Living Trust (the "Spouse Trust"). The Spouse Trust is a revocable trust for the benefit of the reporting person's spouse. The reporting person may be deemed to beneficially own the shares of common stock owned by the Spouse Trust. Represents shares of common stock owned by the Ava L. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 (the "ALR Trust"). The reporting person is the settlor and sole trustee for the ALR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the ALR Trust. Represents shares of common stock owned by the Ian D. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 (the "IDR Trust"). The reporting person is the settlor and sole trustee for the IDR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the IDR Trust. Represents shares of common stock owned by the Lane West Richison 2022 Irrevocable Trust (the "LWR Trust"). The reporting person is the settlor and sole trustee for the LWR Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the LWR Trust. Represents shares of common stock owned by the Kase Gabriel Richison 2022 Irrevocable Trust (the "KGR Trust"). The reporting person is the settlor and sole trustee for the KGR Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the KGR Trust. Represents shares of common stock owned by the Sage Elizabeth Richison 2022 Irrevocable Trust (the "SER Trust"). The reporting person is the settlor and sole trustee for the SER Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the SER Trust. Represents shares of common stock owned by the Charles Banks Pederson 2022 Irrevocable Trust (the "CBP Trust"). The reporting person is the settlor and sole trustee for the CBP Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the CBP Trust. Represents shares of common stock owned by the Abrie R. Richison 2012 Irrevocable Trust U/T/A DTD 12/21/2012 (the "ARR Trust"). The reporting person is the settlor and sole trustee for the ARR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the ARR Trust. Represents shares of common stock owned by Ernest Group, Inc. ("Ernest Group"). The reporting person is the sole director of Ernest Group and Ernest Group is wholly owned by the reporting person and certain trusts for the reporting person's children, for which the reporting person serves as trustee. The reporting person may be deemed to beneficially own the shares of common stock owned by Ernest Group. /s/ Chad Richison 2023-02-01