0000904454-16-001225.txt : 20160525
0000904454-16-001225.hdr.sgml : 20160525
20160525074925
ACCESSION NUMBER: 0000904454-16-001225
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160525
FILED AS OF DATE: 20160525
DATE AS OF CHANGE: 20160525
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: SWANI SANJAY
CENTRAL INDEX KEY: 0001212996
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36393
FILM NUMBER: 161673415
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-05-25
0001590955
Paycom Software, Inc.
PAYC
0001212996
SWANI SANJAY
C/O WELSH, CARSON, ANDERSON AND STOWE
320 PARK AVENUE, SUITE 2500
NEW YORK
NY
10022
1
0
0
0
Common Stock
2016-05-25
4
J
0
5065436
0
D
0
I
By Welsh, Carson, Anderson & Stowe X, L.P.
Common Stock
2016-05-25
4
J
0
53828
0
D
0
I
By WCAS Capital Partners IV, L.P.
Common Stock
2016-05-25
4
J
0
66190
0
A
180259
D
Common Stock
2016-05-25
4
J
0
13620
0
A
63934
I
By The Swani Family LLC
In-kind distribution of shares by Welsh, Carson, Anderson & Stowe X, L.P. and WCAS Capital Partners IV, L.P. pro rata to their respective partners.
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.
The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
/s/David Mintz, Attorney-in-Fact
2016-05-25