0001415889-17-001713.txt : 20171026 0001415889-17-001713.hdr.sgml : 20171026 20171026210308 ACCESSION NUMBER: 0001415889-17-001713 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: Noll Austin F. Jr. CENTRAL INDEX KEY: 0001561151 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34941 FILM NUMBER: 171157673 MAIL ADDRESS: STREET 1: 32 HEATHER LANE CITY: RANDOLPH STATE: NJ ZIP: 07869 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_061057.xml X0306 5 2017-06-30 0 0 0000050471 PARK CITY GROUP INC PCYG 0001561151 Noll Austin F. Jr. C/O PARK CITY GROUP 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 84228 D Common Stock 2017-01-18 5 A 0 198 12.65 A 84228 D Common Stock 2017-05-12 5 A 0 202 12.35 A 84228 D Warrant 10 2015-01-26 2020-01-26 Common Stock 1846 1846 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. Of the shares beneficially owned by the Reporting Person as of June 30, 2017, 9,554 shares were unvested. These shares subsequently vested on October 18, 2017. This Form 5 is being filed, in part, to correctly report the number of shares held by the Reporting Person as of June 30, 2017. /s/ Edward L. Clissold, Attorney-in-Fact 2017-10-26