0001415889-13-001746.txt : 20130830
0001415889-13-001746.hdr.sgml : 20130830
20130830183739
ACCESSION NUMBER: 0001415889-13-001746
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130828
FILED AS OF DATE: 20130830
DATE AS OF CHANGE: 20130830
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
STATE OF INCORPORATION: NV
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 299 S. MAIN STREET
STREET 2: SUITE 2370
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84111
BUSINESS PHONE: 435-645-2100
MAIL ADDRESS:
STREET 1: 299 S. MAIN STREET
STREET 2: SUITE 2370
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84111
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: 131073614
MAIL ADDRESS:
STREET 1: PARK CITY GROUP,INC.
STREET 2: 3160 PINEBROOK RD.
CITY: PARK CITY
STATE: UT
ZIP: 84098
4
1
form4-08302013_030831.xml
X0306
4
2013-08-28
0000050471
PARK CITY GROUP INC
PCYG
0001027190
ALLEN ROBERT W
299 S MAIN STREET, STE 2370
SALT LAKE CITY
UT
84111
true
false
false
false
Common Stock
2013-08-28
4
P
0
77519
6.45
A
561961
D
Common Stock
118933
I
Trust (By Spouse)
Warrant
6.45
2013-08-28
4
P
0
25581
A
2013-08-28
2018-08-28
Common Stock
25581
25581
D
Series B Convertible Preferred Stock
10
2011-06-30
Common Stock
130753
52301
D
Warrant
3.6
2013-03-14
2018-03-14
Common Stock
45833
45833
D
The Reporting Person acquired the shares of common stock directly from the Issuer in a privately negotiated transaction.
The Reporting Person received the warrants as additional consideration for the purchase of the shares of common stock reported in Table I.
The Series B Preferred remains convertible so long as the shares remain issued and outstanding.
/s/ Robert Allen
2013-08-30