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