-----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, Sp8ZUanZxXge6EmNXJ1tI0ARJ07wkHIsfdrrkPMDoGgbMly9m+Ac/Qf7wZut/mXm xjR9r2D0p5wAWx/ZRoAv1A== 0001038838-02-000854.txt : 20021028 0001038838-02-000854.hdr.sgml : 20021028 20021028131651 ACCESSION NUMBER: 0001038838-02-000854 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021028 FILED AS OF DATE: 20021028 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03718 FILM NUMBER: 02799575 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: MEYER ANTHONY E CENTRAL INDEX KEY: 0001117454 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O MEYER VENTURES STREET 2: 544 BROADWAY #800 WEST CITY: NEW YORK STATE: NY ZIP: 10012 BUSINESS PHONE: 2128574700 MAIL ADDRESS: STREET 1: C/O MEYER VENTURES STREET 2: 544 BROADWAY #800 WEST CITY: NEW YORK STATE: NY ZIP: 10012 3 1 form3meyer102802.txt FORM 3 FOR ANTHONY MEYER DATED OCTOBER 28, 2002 - ---------- ------------------------- FORM 3 OMB NUMBER - ---------- ------------------------- OMB Number: 3235-0104 U.S. SECURITIES AND EXCHANGE COMMISSION Expires: January 31, 2005 WASHINGTON, DC 20549 Extimated average burden hours per response....0.5 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES ------------------------- 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. Date of Event Requiring 4. Issuer Name and Ticker or Trading Symbol Meyer, Anthony E. Statement - ------------------------------------------ (Month/Day/Year) Park City Group, Inc. (PKCY) (Last) (First) (Middle) October 28, 2002 ----------------------------------------------------------- 551 5TH AVE #3100 ---------------------------- 5. Relationship of Reporting 6.If Amendment, Date - ------------------------------------------ 3. IRS or Social Security Person to Issuer of Original (Street) Number of Reporting (Check all applicable) (Month/Day/Year) Person (Voluntary) [X] Director [ ] 10% Owner NEW YORK, NY 10176 [ ] Officer [ ] Other(specify 7.Individual or Joint/Group - ---------------------------------------- -------------------------- (give title below) Filing (Check Applicable (City) (State) (Zip) below) Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person - --------------------------------------------------------------------------------------------------------------------------------- TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial (Instr. 4) Indirect (I) Ownership (Instr. 5) (Instr. 5) - ----------------------------------------------------------------------------------------------------------------------------------- NONE - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ----------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ 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 5(b)(v). Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently vaild OMB control number.
FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - - ---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership Expiration Date Derivative Security Exercise Form of (Instr. 5) (Month/Day/ (Instr. 4) Price of Deriv- Year) Deri- ative vative Security: Security Direct ------------------------------------------------- (D) or Date Expira- Amount or Indirect (I) Exercis- tion Title Number (Instr. 5) able Date of Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ Anthony E. Meyer 10/28/02 ------------------------------- ------------- **Signature of Reporting Person Date Anthony E. Meyer **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. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently vaild OMB control number. Page 2
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