0001415889-12-000057.txt : 20120113 0001415889-12-000057.hdr.sgml : 20120113 20120113160523 ACCESSION NUMBER: 0001415889-12-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120110 FILED AS OF DATE: 20120113 DATE AS OF CHANGE: 20120113 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: 001-34941 FILM NUMBER: 12526700 MAIL ADDRESS: STREET 1: PARK CITY GROUP,INC. STREET 2: 3160 PINEBROOK RD. CITY: PARK CITY STATE: UT ZIP: 84098 4 1 form4-01132012_010114.xml X0304 4 2012-01-10 0000050471 PARK CITY GROUP INC PCYG 0001027190 ALLEN ROBERT W 3160 PINEBROOK RD PARK CITY UT 84098 true false false false Common Stock 2012-01-10 2011-12-31 4 J 0 820 3.05 A 237188 D Common Stock 46243 I Trust (By Spouse) Series A Convertible Preferred Stock 10.00 2012-01-10 4 J 0 207 3.00 A 2012-01-10 Common Stock 690 16690 D Series A Convertible Preferred Stock 10.00 2012-01-10 4 J 0 207 3.00 A 2012-01-10 Common Stock 690 16691 I By Trust (Spouse) Series B Convertible Preferred Stock 10.00 2011-06-30 Common Stock 130753 52301 D Shares issued in lieu of cash compensation for fees for services on the Company's Board of Directors. Shares were issued in lieu of cash dividends payable on Series A Convertible Preferred Stock. Series A Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding. Series B Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding. /s/ Robert W. Allen 2012-01-13