0000904454-15-000734.txt : 20151118
0000904454-15-000734.hdr.sgml : 20151118
20151118164009
ACCESSION NUMBER: 0000904454-15-000734
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151118
FILED AS OF DATE: 20151118
DATE AS OF CHANGE: 20151118
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: Scully Thomas
CENTRAL INDEX KEY: 0001414384
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 151241225
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE, SUITE # 2500
CITY: NEW YORK
STATE: NM
ZIP: 10022
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2015-11-18
0001590955
Paycom Software, Inc.
PAYC
0001414384
Scully Thomas
C/O WELSH, CARSON, ANDERSON & STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
0
0
1
0
Common Stock
2015-11-18
4
S
0
2731638
41.75
D
5644975
I
By Welsh, Carson, Anderson & Stowe X, L.P.
Common Stock
2015-11-18
4
S
0
29028
41.75
D
59986
I
By WCAS Capital Partners IV, L.P.
Common Stock
2015-11-18
4
S
0
10000
41.75
D
66649
D
The Reporting Person is a managing member of the respective sole general partners of Welsh, Carson, Anderson & Stowe X, L.P. and WCAS Capital Partners IV, L.P. Pursuant to Instruction (4)(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity. The Reporting Person 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.
/s/David Mintz, Attorney-in-Fact
2015-11-18