0000950170-24-013255.txt : 20240209 0000950170-24-013255.hdr.sgml : 20240209 20240209160526 ACCESSION NUMBER: 0000950170-24-013255 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240207 FILED AS OF DATE: 20240209 DATE AS OF CHANGE: 20240209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Richison Chad R. CENTRAL INDEX KEY: 0001594487 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36393 FILM NUMBER: 24614743 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] ORGANIZATION NAME: 06 Technology 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 ownership.xml 4 X0508 4 2024-02-07 0001590955 Paycom Software, Inc. PAYC 0001594487 Richison Chad R. 7501 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 true true true false Co-CEO, President and Chairman false Common Stock 2024-02-07 4 D false 1610000 0.00 D 3093908 D Common Stock 1012 I By Faye Penelope Richison 2023 Irrevocable Trust Common Stock 1012 I By Rome West Pedersen 2023 Irrevocable Trust Common Stock 1012 I By Lane West Richison 2022 Irrevocable Trust Common Stock 1012 I By Kase Gabriel Richison 2022 Irrevocable Trust Common Stock 1012 I By Sage Elizabeth Richison 2022 Irrevocable Trust Common Stock 1012 I By Charles Banks Pedersen 2022 Irrevocable Trust Common Stock 253 I By Ava L. Richison 2012 Irrevocable Trust Common Stock 253 I By Ian D. Richison 2012 Irrevocable Trust Common Stock 56 I By Abrie R. Richison 2012 Irrevocable Trust Common Stock 12500 I By Charis Michelle Richison Trust Common Stock 3670999 I By Ernest Group, Inc. Represents 1,610,000 unvested shares of restricted stock granted to the reporting person on November 23, 2020, which shares were forfeited by the reporting person on February 7, 2024, in accordance with the terms of the relevant award agreement. Represents shares of common stock owned by the Faye Penelope Richison 2023 Irrevocable Trust (the "FPR Trust"). The reporting person is the settlor and sole trustee for the FPR Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the FPR Trust. Represents shares of common stock owned by the Rome West Pedersen 2023 Irrevocable Trust (the "RWP Trust"). The reporting person is the settlor and sole trustee for the RWP Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the RWP Trust. Represents shares of common stock owned by the Lane West Richison 2022 Irrevocable Trust (the "LWR Trust"). The reporting person is the settlor and sole trustee for the LWR Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the LWR Trust. Represents shares of common stock owned by the Kase Gabriel Richison 2022 Irrevocable Trust (the "KGR Trust"). The reporting person is the settlor and sole trustee for the KGR Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the KGR Trust. Represents shares of common stock owned by the Sage Elizabeth Richison 2022 Irrevocable Trust (the "SER Trust"). The reporting person is the settlor and sole trustee for the SER Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the SER Trust. Represents shares of common stock owned by the Charles Banks Pedersen 2022 Irrevocable Trust (the "CBP Trust"). The reporting person is the settlor and sole trustee for the CBP Trust, which is for the benefit of the reporting person's grandchild. The reporting person may be deemed to beneficially own the shares of common stock owned by the CBP Trust. Represents shares of common stock owned by the Ava L. Richison 2012 Irrevocable Trust (the "ALR Trust"). The reporting person is the settlor and sole trustee for the ALR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the ALR Trust. Represents shares of common stock owned by the Ian D. Richison 2012 Irrevocable Trust (the "IDR Trust"). The reporting person is the settlor and sole trustee for the IDR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the IDR Trust. Represents shares of common stock owned by the Abrie R. Richison 2012 Irrevocable Trust (the "ARR Trust"). The reporting person is the settlor and sole trustee for the ARR Trust, which is for the benefit of the reporting person's child. The reporting person may be deemed to beneficially own the shares of common stock owned by the ARR Trust. Represents shares of common stock owned by the Charis Michelle Richison Trust (the "Spouse Trust"). The Spouse Trust is a revocable trust for the benefit of the reporting person's spouse. The reporting person may be deemed to beneficially own the shares of common stock owned by the Spouse Trust. Represents shares of common stock owned by Ernest Group, Inc. ("Ernest Group"). The reporting person is the sole director of Ernest Group and Ernest Group is wholly owned by the reporting person and certain trusts for the reporting person's children, for which the reporting person serves as trustee. The reporting person may be deemed to beneficially own the shares of common stock owned by Ernest Group. /s/ Chad Richison 2024-02-08