0001415889-22-000208.txt : 20220104 0001415889-22-000208.hdr.sgml : 20220104 20220104165048 ACCESSION NUMBER: 0001415889-22-000208 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220104 DATE AS OF CHANGE: 20220104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Salaymeh Omar CENTRAL INDEX KEY: 0001855015 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37931 FILM NUMBER: 22506956 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: 832860149 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 800 BOYLSTON STREET STREET 2: 16TH FLOOR CITY: BOSTON STATE: MA ZIP: 02199 BUSINESS PHONE: 8774653200 MAIL ADDRESS: STREET 1: 800 BOYLSTON STREET STREET 2: 16TH FLOOR CITY: BOSTON STATE: MA ZIP: 02199 4 1 form4-01042022_010116.xml X0306 4 2021-12-31 0001682325 GTY Technology Holdings Inc. GTYH 0001855015 Salaymeh Omar C/O GTY TECHNOLOGY HOLDINGS INC. 800 BOYLSTON STREET,16TH FLOOR BOSTON MA 02199 false true false false CEO OF BONFIRE Performance Restricted Stock Units 2021-12-31 4 A 0 7500 0 A Common Stock 7500 24759 D Each performance restricted stock unit represents a contingent right to receive one share of the issuer's common stock. If certain performance criteria are met and the reporting person remains employed with the issuer at such time, the performance restricted stock units will vest on February 19, 2024. The performance restricted stock units may be settled in shares of the issuer's common stock or cash. /s/ Jon C. Bourne, Attorney-in-Fact 2022-01-04