0001415889-17-001707.txt : 20171026
0001415889-17-001707.hdr.sgml : 20171026
20171026205750
ACCESSION NUMBER: 0001415889-17-001707
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170630
FILED AS OF DATE: 20171026
DATE AS OF CHANGE: 20171026
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: 171157668
MAIL ADDRESS:
STREET 1: PARK CITY GROUP,INC.
STREET 2: 3160 PINEBROOK RD.
CITY: PARK CITY
STATE: UT
ZIP: 84098
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 2225
CITY: SALT LAKE CITY
STATE: UT
ZIP: 84111
BUSINESS PHONE: 435-645-2100
MAIL ADDRESS:
STREET 1: 299 S. MAIN STREET
STREET 2: SUITE 2225
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
5
1
form5-10262017_051040.xml
X0306
5
2017-06-30
0
0
0000050471
PARK CITY GROUP INC
PCYG
0001027190
ALLEN ROBERT W
C/O PARK CITY GROUP, INC.
299 S MAIN STREET, STE 2225
SALT LAKE CITY
UT
84111
true
false
false
false
Common Stock
2016-11-11
5
A
0
212
11.80
A
577401
D
Common Stock
2017-01-18
5
A
0
198
12.65
A
577401
D
Common Stock
2017-05-12
5
A
0
202
12.35
A
577401
D
Common Stock
118933
I
Trust (By Spouse)
Series B Preferred Stock
79493
D
Series B-1 Preferred Stock
22044
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 for the quarters ended September 30, 2016, December 31, 2016 and March 31, 2017, respectively.
Amount includes shares of Series B-1 Preferred issued to the Reporting Person during the year ended June 30, 2017 as payment-in-kind of accrued dividends.
/s/ Robert W. Allen
2017-10-26