0001591698-23-000102.txt : 20230615 0001591698-23-000102.hdr.sgml : 20230615 20230615160904 ACCESSION NUMBER: 0001591698-23-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230613 FILED AS OF DATE: 20230615 DATE AS OF CHANGE: 20230615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarowitz Steven I CENTRAL INDEX KEY: 0001597870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36348 FILM NUMBER: 231017417 MAIL ADDRESS: STREET 1: 3850 N. WILKE ROAD CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Paylocity Holding Corp CENTRAL INDEX KEY: 0001591698 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 464066644 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60173 BUSINESS PHONE: 800-520-2687 MAIL ADDRESS: STREET 1: 1400 AMERICAN LANE CITY: SCHAUMBURG STATE: IL ZIP: 60173 4 1 wk-form4_1686859727.xml FORM 4 X0407 4 2023-06-13 0 0001591698 Paylocity Holding Corp PCTY 0001597870 Sarowitz Steven I C/O 1400 AMERICAN LANE SCHAUMBURG IL 60173 1 0 1 0 0 Common Stock, par value $0.001 2023-06-13 4 G 0 16250 0 D 10037121 D Common Stock, par value $0.001 2023-06-13 4 G 0 16250 0 A 16250 I By Jessica P. Sarowitz Declaration of Trust Common Stock, par value $0.001 2023-06-15 4 G 0 16250 0 D 0 I By Jessica P. Sarowitz Declaration of Trust These securities were transferred by the reporting person as a gift to the Jessica P. Sarowitz Declaration of Trust (the "Trust") for the benefit of the reporting person's spouse. The reporting person's spouse is trustee of the Trust. /s/ Kris Kang, attorney-in-fact to Steven I. Sarowitz 2023-06-15