0000904454-16-001350.txt : 20160803
0000904454-16-001350.hdr.sgml : 20160803
20160803170443
ACCESSION NUMBER: 0000904454-16-001350
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160801
FILED AS OF DATE: 20160803
DATE AS OF CHANGE: 20160803
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: 161804688
MAIL ADDRESS:
STREET 1: 320 PARK AVENUE STE 2500
CITY: NEW YORK
STATE: NY
ZIP: 10022
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-08-01
1
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
1
Resigned 08/01/2016
Common Stock
2016-08-01
4
D
0
1283
0
D
178976
D
Shares forfeited under a Restricted Stock Award Agreement pursuant to the Issuer's 2014 Long-Term Incentive Plan, as a result of the Reporting Person's resignation from the Issuer's Board of Directors.
The Reporting Person also indirectly beneficially owns 63,934 shares held by The Swani Family LLC. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
/s/David Mintz, Attorney-in-Fact
2016-08-03