-----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, BDVbwnpnAV+LcBLvQVb563rjlP0HZ7GIC8c+wRF7rsD98GSpyAfL68lD7Dglf+HG 2lyU2TxFK9ZJx2qg1BVGjQ== 0001038838-02-000585.txt : 20020813 0001038838-02-000585.hdr.sgml : 20020813 20020812185156 ACCESSION NUMBER: 0001038838-02-000585 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020731 FILED AS OF DATE: 20020813 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03718 FILM NUMBER: 02727824 BUSINESS ADDRESS: STREET 1: 333 MAIN STREET STREET 2: , CITY: PARK CITY STATE: UT ZIP: 84060 BUSINESS PHONE: 435-649-2221 MAIL ADDRESS: STREET 1: 333 MAIN STREET STREET 2: , CITY: PARK CITY STATE: UT ZIP: 84060 FORMER COMPANY: FORMER CONFORMED NAME: INFOTEC INC DATE OF NAME CHANGE: 19930506 FORMER COMPANY: FORMER CONFORMED NAME: EQUITY GROWTH SYSTEMS INC /DE/ DATE OF NAME CHANGE: 19951214 FORMER COMPANY: FORMER CONFORMED NAME: AMERINET GROUP COM INC DATE OF NAME CHANGE: 19990803 FORMER COMPANY: FORMER CONFORMED NAME: FIELDS TECHNOLOGIES INC DATE OF NAME CHANGE: 20010626 COMPANY DATA: COMPANY CONFORMED NAME: PEETS TERRY CENTRAL INDEX KEY: 0001170916 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O FIELDS TECHNOLOGIES INC STREET 2: PO BOX 5000 CITY: PARK CITY STATE: UT ZIP: 84060 BUSINESS PHONE: 4356452102 MAIL ADDRESS: STREET 1: C/O FIELDS TECHNOLOGIES INC STREET 2: PO BOX 5000 CITY: PARK CITY STATE: UT ZIP: 84060 4 1 form4peets08802.txt FORM 4 FOR TERRY PEETS FOR JULY 2002 - ---------- -------------------------- FORM 4 OMB APPROVAL - ---------- -------------------------- [ ] Check this box if no longer OMB Number: 3235-0287 subject to Section 16. Form 4 Expires: December 31, 2001 or Form 5 obligations may Estimated average burden continue. See Instruction 1(b). hours per response.. .05 -------------------------- U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker Trading Symbol 6. Relationship of Reporting Person(s) to Issuer Park City Group, Inc. - PKCY (Check all applicable) Peets, Terry [X] Director [ ] 10% Owner - ----------------------------------------------------------------------------------------------- [ ] Officer(give [ ] Other (specify (Last) (First) (Middle) 3. IRS Identification 4. Statement for Month/Year title below below) Number of Reporting 327 Coral Ave Person, if an entity July 2002 ------------------------------ - ------------------------------------------ (voluntary) ---------------------------- ------------------------------------ (Street) 5. If Amendment, Date 7.Individual or Joint/Group of Original Filing (Check Applicable Line) (Month/Year) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person Balboa Island, CA 92662 - ----------------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) TABLE 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired(A) 5. Amount of 6.Owner- 7. Nature of (Instr. 3) action Code or Disposed of (D) Securities ship Indirect Date (Instr.8) (Instr. 3,4 and 5) Beneficially Form: Beneficial (Month/ -------------- ------------------------- Owned at End Direct (D) Ownership Day/ Amount (A) or Price of Month or Indirect (Instr.4) Year) Code V (D) (Instr. 3 and 4) (I) (Instr.4) - ----------------------------------------------------------------------------------------------------------------------------------- 0 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ----------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction on 4(b)(v).
FORM 4 (CONTINUED) Table II -- Derivative Securities Acquired, Disposed of, or Benficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------------------------------- 1.Title of 2.Conver- 3.Trans- 4.Tansac- 5.Number of 6.Date Exercis- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature Derivative sion or action tion Derivative able and Amount of of of Deri- ship of In- Security Exercise Date Code Securities Expiration Underlying Deri- vative Form of direct (Instr.3) Price of (Month/ (Instr.8) Acquired Date Securities vative Secur- Deriva- Bene- Deri- Day/ (A) or (Month/Day/ (Intr. 3 Secu- ities tive ficial vative Year) Disposed Year) and 4) rity Benefi- Security: Owner- Security of (D) ----------------- ------------- (Instr. cially Direct ship (Instr.3, Amount 5) Owned (D) or (Instr. 4 and 5) or at End Indirect 4) Date Expir- Title Number of (I) Exer- ation of Month (Instr.4) Code V (A) (D) cisable Date Shares (Instr.4) - ------------------------------------------------------------------------------------------------------------------------------------ Option $0.08 7/9/02 A 31,250 7/09/02 7/8/07 Common 31,250 $0.08 - ------------------------------------------------------------------------------------------------------------------------------------ Option $0.08 7/9/02 A 125,000 7/01/03 7/8/07 Common 125,000 $0.08 156,250 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ Terry Peets (1) 8/8/02 -------------------------------- -------- Signature of Reporting Person Date (1) Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) Note. File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure.
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