0001415889-12-001484.txt : 20121011
0001415889-12-001484.hdr.sgml : 20121011
20121011162950
ACCESSION NUMBER: 0001415889-12-001484
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121003
FILED AS OF DATE: 20121011
DATE AS OF CHANGE: 20121011
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clissold Edward L.
CENTRAL INDEX KEY: 0001555714
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34941
FILM NUMBER: 121140270
MAIL ADDRESS:
STREET 1: 3160 PINEBROOK RD
CITY: PARK CITY
STATE: UT
ZIP: 84098
FORMER NAME:
FORMER CONFORMED NAME: Clissold Edward
DATE OF NAME CHANGE: 20120807
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
4
1
form4-10112012_011040.xml
X0306
4
2012-10-03
0000050471
PARK CITY GROUP INC
PCYG
0001555714
Clissold Edward L.
3160 PINEBROOK RD
PARK CITY
UT
84098
false
true
false
false
CFO, GEN COUNSEL, SECRETARY
Common Stock
2012-10-03
2012-09-29
4
J
0
450
3.30
A
3313
D
Options
1.5
2003-07-21
2013-07-18
Common Stock
4000
4000
D
Shares represent one-fourth of total grant. The grant vests ratably over a four year period beginning September 29, 2011
/s/ Edward L. Clissold
2012-10-11