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