0000904454-14-000387.txt : 20140422
0000904454-14-000387.hdr.sgml : 20140422
20140422144739
ACCESSION NUMBER: 0000904454-14-000387
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140421
FILED AS OF DATE: 20140422
DATE AS OF CHANGE: 20140422
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paycom Software, Inc.
CENTRAL INDEX KEY: 0001590955
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 800957485
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 7501 W. MEMORIAL ROAD
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73142
BUSINESS PHONE: (405) 722-6900
MAIL ADDRESS:
STREET 1: 7501 W. MEMORIAL ROAD
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73142
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ecock Anthony F
CENTRAL INDEX KEY: 0001434789
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776047
MAIL ADDRESS:
STREET 1: C/O ICAD INC
STREET 2: 98 SPIT BROOK ROAD SUITE 100
CITY: NASHUA
STATE: NH
ZIP: 03062
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: REGAN BRIAN THOMAS
CENTRAL INDEX KEY: 0001556077
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776048
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE
STREET 2: SUITE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lee Eric J.
CENTRAL INDEX KEY: 0001413863
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776050
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE #2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scully Thomas
CENTRAL INDEX KEY: 0001414384
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776051
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE # 2500
CITY: NEW YORK
STATE: NM
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: RATHER JONATHAN M
CENTRAL INDEX KEY: 0001212994
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776052
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Welsh, Carson, Anderson & Stowe X, L.P.
CENTRAL INDEX KEY: 0001328568
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776055
BUSINESS ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
BUSINESS PHONE: (212)893-9500
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Donovan Michael
CENTRAL INDEX KEY: 0001317659
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776049
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022-6815
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MACKESY D SCOTT
CENTRAL INDEX KEY: 0001212997
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776054
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TRAYNOR SEAN
CENTRAL INDEX KEY: 0001212999
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 14776053
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2014-04-21
0001590955
Paycom Software, Inc.
PAYC
0001328568
Welsh, Carson, Anderson & Stowe X, L.P.
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001212997
MACKESY D SCOTT
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001212999
TRAYNOR SEAN
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001212994
RATHER JONATHAN M
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001414384
Scully Thomas
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001413863
Lee Eric J.
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001317659
Donovan Michael
C/O WELSH, CARSON, ANDERSON AND STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
0001556077
REGAN BRIAN THOMAS
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, NEW YORK, SUITE 2500
NY
10022
0
0
1
0
0001434789
Ecock Anthony F
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
Common Stock
2014-04-21
4
S
0
2837482
13.95
D
27587654
D
The securities reported as directly beneficially owned by the designated Reporting Person may be deemed to be indirectly beneficially owned by each of the Reporting Owners listed below, each of whom is a managing member of the sole general partner of the designated Reporting Person. Pursuant to Instruction 4(b)(iv) of Form 4, each such individual has elected to report as indirectly beneficially owned the entire number of securities owned by the designated Reporting Person, however each of them disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
Each Reporting Owner listed below also indirectly beneficially owns 293,155 shares of Common Stock held by WCAS Capital Partners IV, L.P. Such individuals are managing members of the sole general partner of WCAS Capital Partners IV, L.P. Pursuant to Instruction 4(b)(iv) of Form 4, each such individual has elected to report as indirectly beneficially owned the entire number of securities owned by such entity, however each of them disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
Jonathan M. Rather also indirectly beneficially owns 148,103 shares of Common Stock held by WCAS Management Corp, of which he is the sole controlling shareholder. Pursuant to Instruction 4(b)(iv) of Form 4, Mr. Rather has elected to report as indirectly beneficially owned the entire number of securities owned by such entity, however he disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
This amount represents the $15.00 initial public offering price per share of Common Stock, less the underwriting discount of $1.05 per share.
/s/ David Mintz, Attorney-in-Fact
2014-04-22