0001415889-16-006595.txt : 20160722 0001415889-16-006595.hdr.sgml : 20160722 20160722163040 ACCESSION NUMBER: 0001415889-16-006595 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160630 FILED AS OF DATE: 20160722 DATE AS OF CHANGE: 20160722 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34941 FILM NUMBER: 161779990 MAIL ADDRESS: STREET 1: PARK CITY GROUP,INC. STREET 2: 3160 PINEBROOK RD. CITY: PARK CITY STATE: UT ZIP: 84098 5 1 form5-07222016_040730.xml X0306 5 2016-06-30 0 0 0000050471 PARK CITY GROUP INC PCYG 0001027190 ALLEN ROBERT W C/O PARK CITY GROUP, INC. 299 S MAIN STREET, STE 2370 SALT LAKE CITY UT 84111 true false false false Common Stock 2015-09-30 5 A 0 237 10.57 A 576789 D Common Stock 2015-12-31 5 A 0 210 11.91 A 576789 D Common Stock 2016-03-31 5 A 0 276 9.07 A 576789 D Common Stock 2016-06-30 5 A 0 279 8.97 A 576789 D Common Stock 118933 I Trust (By Spouse) Series B Preferred Stock 79493 D Series B-1 Preferred Stock 13398 D Warrant 3.6 2013-03-14 2018-03-14 Common Stock 45833 45833 D Warrant 6.45 2013-08-28 2018-08-28 Common Stock 25581 25581 D Warrants 4 2015-02-05 2020-02-05 Common Stock 130753 130753 D Shares issued in lieu of amounts payable to the Reporting Person for his service on the Issuer's Board of Directors. Amount includes shares of Series B-1 Preferred issued to the Reporting Person during the year ended June 30, 2016 as payment-in-kind of accrued dividends. /s/ Robert Allen 2016-07-22