-----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, DpuarzXcQhk8SG1vvqsF4TBheyyCP1aY/05/2CkFagxu892V6RZoZa6dwDBEz7yK mjDhlJZ0k63hpBSoqiDRmQ== 0001140361-10-011421.txt : 20100311 0001140361-10-011421.hdr.sgml : 20100311 20100311172356 ACCESSION NUMBER: 0001140361-10-011421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20090216 FILED AS OF DATE: 20100311 DATE AS OF CHANGE: 20100311 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: 371454128 FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 3160 PINEBROOK ROAD CITY: PARK CITY STATE: UT ZIP: 84098 BUSINESS PHONE: 435-645-2000 MAIL ADDRESS: STREET 1: 3160 PINEBROOK ROAD CITY: PARK CITY STATE: UT ZIP: 84098 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALLEN ROBERT W CENTRAL INDEX KEY: 0001027190 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03718 FILM NUMBER: 10674955 MAIL ADDRESS: STREET 1: PARK CITY GROUP,INC. STREET 2: 3160 PINEBROOK RD. CITY: PARK CITY STATE: UT ZIP: 84098 4 1 doc1.xml FORM 4 X0303 4 2009-02-16 0 0000050471 PARK CITY GROUP INC PCYG 0001027190 ALLEN ROBERT W 3160 PINEBROOK RD PARK CITY UT 84098 1 0 0 0 Common Stock 2009-02-16 4 J 0 962 2.60 A 53962 D Common Stock 2009-02-16 4 J 0 1798 1.39 A 55760 D Common Stock 2009-04-14 4 J 0 116667 1.50 A 172427 D Common Stock 2009-07-14 4 J 0 2273 1.10 A 174700 D Common Stock 2009-07-14 4 J 0 1667 1.50 A 176367 D Common Stock 2009-11-30 4 J 0 15000 1.00 A 191367 D Common Stock 2009-12-28 4 J 0 909 2.75 A 192276 D Common Stock 2010-01-22 4 J 0 755 3.31 A 193031 D Common Stock 37314 I By Trust Series A Convertible Preferred Stock 10.00 2009-06-03 4 J 0 420 3.00 A 2009-06-03 Common Stock 1400 100055.66 D Series A Convertible Preferred Stock 10.00 2009-07-17 4 J 0 359 3.00 A 2009-07-17 Common Stock 1196.67 101252.330 D Series A Convertible Preferred Stock 8.22 2009-10-27 4 J 0 226 2.47 A 2009-10-27 Common Stock 753.33 102005.660 D Series A Convertible Preferred Stock 10.00 2010-01-14 4 J 0 188 3.00 A 2010-01-14 Common Stock 626.67 102632.33 D Series A Convertible Preferred Stock 10.00 2009-06-03 4 J 0 420 3.00 A 2009-06-03 Common Stock 1400 47801.66 I By Trust (Spouse) Series A Convertible Preferred Stock 10.00 2009-07-17 4 J 0 359 3.00 A 2009-07-17 Common Stock 1196.67 48998.33 I By Trust (Spouse) Series A Convertible Preferred Stock 8.22 2009-10-27 4 J 0 226 2.47 A 2009-10-27 Common Stock 753.33 49751.66 I By Trust (Spouse) Series A Convertible Preferred Stock 10.00 2010-01-14 4 J 0 188 3.00 A 2010-01-14 Common Stock 626.67 50378.33 I By Trust (Spouse) Common Stock Purchase Warrants 4.00 2007-06-05 2011-05-31 Common Stock 8928 8928 D Common Stock Purchase Warrants 4 2007-06-05 2011-05-31 Common Stock 8929 8929 I By Trust (Spouse) Represents issuance of shares paid in lieu of cash compensation for fees for service on the Company's Board of Directors. Shares were issued as consideration for the purchase of a promissory note by Reporting Person. Shares were issued as bonus compensation. Issuance represents one-fifth of shares issued. The remaining shares are issued over a four year period. Shares were issued in-lieu of cash for dividends payable on Series A Convertible Preferred Stock. Preferred Stock remains convertible so long as the shares remain issued and outstanding. Exhibit 24 - Power of Attorney dated 2-17-10 reflecting Reporting Person's conformed signature. /s/ John R. Merrill, Attorney in Fact 2010-03-11 EX-24 2 poa1.htm POWER OF ATTORNEY poa-allen.htm
POWER OF ATTORNEY
 
Know all by these presents, that the undersigned hereby constitutes and appoints each of John Merrill and Ed Clissold, signing singly the undersigned’s true and lawful attorney-in fact to:
 
(1) execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of Park City Group, Inc. (the “Company”), Forms 3, 4 and 5 (including amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder and a Form ID, Uniform Application for Access Codes to File on Edgar;
 
(2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4 or 5 or Form ID and timely file such forms (including amendments thereto) and application with the United States Securities and Exchange Commission and any stock exchange or similar authority; and
 
(3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact’s discretion.
 
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
 
The undersigned agrees that each such attorney-in-fact herein may rely entirely on information furnished orally or in writing by the undersigned to such attorney-in-fact.  The undersigned also agrees to indemnify and hold harmless the Company and each such attorney-in-fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statements or omission of necessary facts in the information provided by the undersigned to such attorney-in-fact for purposes of executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including amendments thereto) or Form ID and agrees to reimburse the Company and such attorney-in-fact for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action.
 
This Power of Attorney supersedes any power of attorney previously executed by the undersigned regarding the purposes outlined in the first paragraph hereof (“Prior Powers of Attorney”), and the authority of the attorneys-in-fact named in any Prior Powers of Attorney is hereby revoked.  This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 or 5 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier (a) revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact or (b) superseded by a new power of attorney regarding the purposes outlined in the first paragraph hereof dated as of a later date.
 
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 17th day of February, 2010.
 

 
/s/ Robert W. Allen
Robert W. Allen
 
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