-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Nv1KwymGBrlHb3/TjPfP78v6WgjZPkvPumOwtRzSxc1IWcEwaU/bhIYB38XLFoM8 Ya8goHT8EN/kMNTPvzzRrQ== 0001012975-04-000121.txt : 20040408 0001012975-04-000121.hdr.sgml : 20040408 20040408131751 ACCESSION NUMBER: 0001012975-04-000121 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030630 FILED AS OF DATE: 20040408 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AW FIELDS ACQUISITION LLC CENTRAL INDEX KEY: 0001178989 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03718 FILM NUMBER: 04724282 BUSINESS ADDRESS: STREET 1: 1330 AVE OF THE AMERICAS STREET 2: 36TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10036 BUSINESS PHONE: 2128421600 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PARK CITY GROUP INC CENTRAL INDEX KEY: 0000050471 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 112050317 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 333 MAIN STREET, SUITE 300 STREET 2: P.O. BOX 5000 CITY: PARK CITY STATE: UT ZIP: 84060 BUSINESS PHONE: 435-649-2221 MAIL ADDRESS: STREET 1: 333 MAIN STREET, SUITE 300 STREET 2: P.O. BOX 5000 CITY: PARK CITY STATE: UT ZIP: 84060 FORMER COMPANY: FORMER CONFORMED NAME: FIELDS TECHNOLOGIES INC DATE OF NAME CHANGE: 20010626 FORMER COMPANY: FORMER CONFORMED NAME: AMERINET GROUP COM INC DATE OF NAME CHANGE: 19990803 FORMER COMPANY: FORMER CONFORMED NAME: EQUITY GROWTH SYSTEMS INC /DE/ DATE OF NAME CHANGE: 19951214 5 1 primary_doc.xml PRIMARY DOCUMENT X0201 5 2003-06-30 0 0 0 0000050471 PARK CITY GROUP INC PKCY 0001178989 AW FIELDS ACQUISITION LLC 1330 AVENUE OF THE AMERICAS 36TH FLOOR NEW YORK NY 10019 0 0 1 0 Common Stock 2003-03-07 5 J 0 8625000 A 28750001 D Warrant to Purchase Common Stock 0.07 2003-03-07 5 J 0 0 A 2002-06-11 2005-03-27 Common Stock 28750001 D These shares were issued pursuant to section 5.4 of the securities purchase agreement dated March 27, 2002 between the Reporting Person and the Issuer (the "SPA"). Pursuant to sections 2 and 9 of the Warrant to Purchase Common Stock (the "Warrant") issued by the Issuer to the Reporting Person on June 11, 2002 pursuant to the SPA, the exercise price at which the Warrant may be exercised was reduced from $0.10 to $0.07, and the number of shares issuable upon exercise of the Warrant increased from 20,125,001 to 28,750,001. /s/ Paul M. Higbee for Andersen & Partners, LLC for AW Fields, LLC 2004-04-06 -----END PRIVACY-ENHANCED MESSAGE-----