0001415889-15-000489.txt : 20150211 0001415889-15-000489.hdr.sgml : 20150211 20150211210940 ACCESSION NUMBER: 0001415889-15-000489 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150205 FILED AS OF DATE: 20150211 DATE AS OF CHANGE: 20150211 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: FIELDS RANDALL K CENTRAL INDEX KEY: 0001143335 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34941 FILM NUMBER: 15601444 MAIL ADDRESS: STREET 1: 3160 PINEBROOK ROAD CITY: PARK CITY STATE: UT ZIP: 84098 4 1 form4-02112015_060232.xml X0306 4 2015-02-05 0000050471 PARK CITY GROUP INC PCYG 0001143335 FIELDS RANDALL K C/O PARK CITY GROUP, INC. 299 SOUTH MAIN STREET, SUITE 2370 SALT LAKE CITY UT 84111 true true true false CHIEF EXECUTIVE OFFICER Series B Preferred Stock 2015-02-05 4 A 0 181806 A 531432 I By Riverview Financial Corp Series B Preferred Stock 2015-02-05 4 A 0 27192 A 37192 I By Spouse Warrants 4 2015-02-05 4 A 0 874065 A 2015-02-05 2020-02-05 Common Stock 874065 874065 I By Riverview Financial Corp Warrants 4 2015-02-05 4 A 0 25000 A 2015-02-05 2020-02-05 Common Stock 25000 25000 I By Spouse Following the filing of an amendment to the Certificate of Designation of the Relative Rights, Powers and Preference of the Series B Preferred filed by the Issuer on February 5, 2015 (the "Series B Amendment"), shares of Series B Preferred Stock are no longer convertible. The shares and warrants reported herein were issued as consideration for the Reporting Person's consent to the filing of the Series B Amendment. /s/ Randall K. Fields 2015-02-11