0001415889-21-002068.txt : 20210423 0001415889-21-002068.hdr.sgml : 20210423 20210423191631 ACCESSION NUMBER: 0001415889-21-002068 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210419 FILED AS OF DATE: 20210423 DATE AS OF CHANGE: 20210423 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Salaymeh Omar CENTRAL INDEX KEY: 0001855015 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37931 FILM NUMBER: 21851081 MAIL ADDRESS: STREET 1: C/O GTY TECHNOLOGY HOLDINGS INC. STREET 2: 1180 NORTH TOWN CENTER DRIVE, SUITE 100 CITY: LAS VEGAS STATE: NV ZIP: 89144 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GTY Technology Holdings Inc. CENTRAL INDEX KEY: 0001682325 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 000000000 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1180 NORTH TOWN CENTER DRIVE, STREET 2: SUITE 100 CITY: LAS VEGAS STATE: NV ZIP: 89144 BUSINESS PHONE: (702) 945-2700 MAIL ADDRESS: STREET 1: 1180 NORTH TOWN CENTER DRIVE, STREET 2: SUITE 100 CITY: LAS VEGAS STATE: NV ZIP: 89144 3 1 form3-04232021_040418.xml X0206 3 2021-04-19 0 0001682325 GTY Technology Holdings Inc. GTYH 0001855015 Salaymeh Omar C/O GTY TECHNOLOGY HOLDINGS INC. 1180 NORTH TOWN CENTER DRIVE, SUITE 100 LAS VEGAS NV 89144 false true false false CEO of Bonfire Common Stock 97025 D Stock Options 2.4458 Common Stock 51372 D Restricted Stock Units Common Stock 50639 D The reporting person has been granted 51,372 stock options (the "Options"). Previously, 44,512 of the Options vested. Subject to the reporting person continuing to be employed with the issuer, an additional 1,712 of the Options vest each month. Each vested Option is exercisable at a price of $2.4458 for one share of the issuer's common stock. Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock. If the reporting person remains employed with the issuer at such time, 26,562 restricted stock units will vest on February 19, 2022; 17,410 restricted stock units will vest on February 19, 2023; and 6,667 restricted stock units will vest on February 19, 2024. Restricted stock units may be settled in shares of the issuer's common stock or cash. See Exhibit 24.1 - Power of Attorney. /s/ Jon C. Bourne, Attorney-in-Fact 2021-04-23 EX-24 2 ex24-04232021_040418.htm ex24-04232021_040418.htm

POWER OF ATTORNEY


The undersigned constitutes and appoints John Curran, Jon Bourne, Justin Kerr and David Farrell, or any of them acting singly, as the undersigned’s true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for the undersigned and in the undersigned’s name, place and stead, to:


1.

 prepare, sign, and submit to the Securities and Exchange Commission (the “SEC”) on its Electronic Data Gathering, Analysis, and Retrieval (“EDGAR”) Filer Management website a Form ID application, including any amendments and exhibits thereto, and any other related documents as may be necessary or appropriate, to obtain from the SEC access codes to permit filing on the SEC’s EDGAR system, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each act and thing requisite and necessary to be done as required by any rule or regulation of the SEC and the EDGAR Filer Manual as fully and to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, and each of them, may lawfully do or cause to be done by virtue hereof; and


2.

sign any and all SEC statements of beneficial ownership of securities of GTY Technology Holdings Inc. (the “Company”) on Schedule 13D as required under Section 13 and Forms 3, 4 and 5 as required under Section 16(a) of the Securities Exchange Act of 1934, as amended, and any amendments thereto, and to file the same with all exhibits thereto, and other documents in connection therewith, with the SEC, the Company and any stock exchange on which any of the Company’s securities are listed, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each act and thing requisite and necessary to be done under said Section 13 and Section 16(a), as fully and to all intents and purposes as the undersigned might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, and each of them, may lawfully do or cause to be done by virtue hereof.

 

A copy of this power of attorney shall be filed with the SEC.  The authorization set forth above shall continue in full force and effect until the undersigned revokes such authorization by written instructions to the attorneys-in-fact.

 

The authority granted hereby shall in no event be deemed to impose or create any duty on behalf of the attorneys-in-fact with respect to the undersigned’s obligations to file a Form ID, Schedule 13Ds and Forms 3, 4 and 5 with the SEC. 



/s/ Omar Salaymeh________________________

Name:

Omar Salaymeh

Date:

Mar 26, 2021