0001415889-17-001709.txt : 20171026 0001415889-17-001709.hdr.sgml : 20171026 20171026205923 ACCESSION NUMBER: 0001415889-17-001709 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: Kies William S. CENTRAL INDEX KEY: 0001536026 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34941 FILM NUMBER: 171157670 MAIL ADDRESS: STREET 1: 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_051012.xml X0306 5 2017-06-30 0 0 0000050471 PARK CITY GROUP INC PCYG 0001536026 Kies William S. C/O PARK CITY GROUP, INC. 299 SOUTH MAIN STREET, SUITE 2370 SALT LAKE CITY UT 84111 true false false false Common Stock 2016-11-11 5 A 0 212 11.80 A 47029 D Common Stock 2017-01-18 5 A 0 198 12.65 A 47029 D Common Stock 2017-05-12 5 A 0 202 12.35 A 47029 D Warrant 3.60 2013-03-14 2018-03-14 Common Stock 2750 2750 D Warrant 10 2015-01-26 2020-01-26 Common Stock 660 660 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. /s/ Edward L. Clissold, Attorney-in-Fact 2017-10-26