0001591698-24-000057.txt : 20240229 0001591698-24-000057.hdr.sgml : 20240229 20240229160221 ACCESSION NUMBER: 0001591698-24-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240227 FILED AS OF DATE: 20240229 DATE AS OF CHANGE: 20240229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarowitz Steven I CENTRAL INDEX KEY: 0001597870 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36348 FILM NUMBER: 24703444 MAIL ADDRESS: STREET 1: 3850 N. WILKE ROAD CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paylocity Holding Corp CENTRAL INDEX KEY: 0001591698 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] ORGANIZATION NAME: 06 Technology IRS NUMBER: 464066644 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60173 BUSINESS PHONE: 800-520-2687 MAIL ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60173 4 1 wk-form4_1709240520.xml FORM 4 X0508 4 2024-02-27 0 0001591698 Paylocity Holding Corp PCTY 0001597870 Sarowitz Steven I C/O 1400 AMERICAN LANE SCHAUMBURG IL 60173 1 0 1 0 0 Common Stock, par value $0.001 2024-02-27 4 G 0 20000 0 D 9542376 D Common Stock, par value $0.001 2024-02-27 4 G 0 20000 0 A 20000 I By Jessica P. Sarowitz Declaration of Trust These securities were transferred by the reporting person as a gift to the Jessica P. Sarowitz Declaration of Trust (the "Trust") for the benefit of the reporting person's spouse. The reporting person's spouse is trustee of the Trust. /s/ Kris Kang, attorney-in-fact to Steven I. Sarowitz 2024-02-29