0001415889-22-001317.txt : 20220214
0001415889-22-001317.hdr.sgml : 20220214
20220214171913
ACCESSION NUMBER: 0001415889-22-001317
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220210
FILED AS OF DATE: 20220214
DATE AS OF CHANGE: 20220214
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: 22634904
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
form4-02142022_020231.xml
X0306
4
2022-02-10
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
Restricted Stock Units
2022-02-10
4
A
0
16802
0
A
Common Stock
16802
72964
D
Performance Restricted Stock Units
2022-02-10
4
D
0
17259
0
D
Common Stock
7500
0
D
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, all the restricted stock units will vest on February 19, 2022. The restricted stock units may be settled in shares of the issuer's common stock and were granted as the reporting person's annual bonus for 2021, consistent with his waiver and consent to receive such bonus in cash, restricted stock units with a vesting period of no more than one year, or a combination of both.
On February 10, 2022, all the 17,259 performance-based restricted stock units granted on April 30, 2021 were forfeited because the reporting person did not achieve the performance goals for the relevant performance period.
/s/ Jon C. Bourne, Attorney-in-Fact
2022-02-14