0000899243-17-021801.txt : 20170911 0000899243-17-021801.hdr.sgml : 20170911 20170911164152 ACCESSION NUMBER: 0000899243-17-021801 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170907 FILED AS OF DATE: 20170911 DATE AS OF CHANGE: 20170911 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: York Jeffrey D. CENTRAL INDEX KEY: 0001594541 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 171079355 MAIL ADDRESS: STREET 1: 7501 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-09-07 0 0001590955 Paycom Software, Inc. PAYC 0001594541 York Jeffrey D. 7501 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 0 1 0 0 Chief Sales Officer Common Stock 2017-09-07 4 F 0 8390 73.86 D 129676 D Common Stock 806231 I By JCY Holdings, LP Common Stock 22000 I By York Charitable Remainder Unitrust Represents shares of common stock of Paycom Software, Inc. (the "Issuer") withheld by the Issuer to satisfy tax withholding obligations in connection with the vesting of 20,000 shares of restricted stock granted to the reporting person on October 4, 2016. No shares were issued or sold in this transaction. Includes 38,720 unvested shares of restricted stock. The general partner of JCY Holdings, LP ("JCY Holdings") is JCY General LLC ("JCY General") and the limited partners of JCY Holdings are the reporting person and his spouse. Each of the reporting person and his spouse owns 50% of the membership interests of JCY General. The York Charitable Remainder Unitrust (the "Trust") is a charitable remainder trust of which the reporting person and his spouse are co-trustees and of which the reporting person and his spouse are beneficiaries. The reporting person continues to report beneficial ownership of all of the shares of the Issuer's common stock held by the Trust but disclaims beneficial ownership except to the extent of his and his spouse's pecuniary interest therein. /s/ Jeffrey D. York 2017-09-11