0001415889-21-000814.txt : 20210223 0001415889-21-000814.hdr.sgml : 20210223 20210223072128 ACCESSION NUMBER: 0001415889-21-000814 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210123 FILED AS OF DATE: 20210223 DATE AS OF CHANGE: 20210223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wert Charles CENTRAL INDEX KEY: 0001688356 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37931 FILM NUMBER: 21663057 MAIL ADDRESS: STREET 1: 200 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10166 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GTY Technology Holdings Inc. CENTRAL INDEX KEY: 0001682325 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 000000000 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1180 NORTH TOWN CENTER DRIVE, STREET 2: SUITE 100 CITY: LAS VEGAS STATE: NV ZIP: 89144 BUSINESS PHONE: (702) 945-2700 MAIL ADDRESS: STREET 1: 1180 NORTH TOWN CENTER DRIVE, STREET 2: SUITE 100 CITY: LAS VEGAS STATE: NV ZIP: 89144 4 1 form4-02232021_040220.xml X0306 4 2021-01-23 0001682325 GTY Technology Holdings Inc. GTYH 0001688356 Wert Charles SUITE 100 LAS VEGAS NV 89144 true false false false Common Stock 2021-01-23 4 J 0 9297 A 83998 D 9,297 shares of common stock reported on this Form 4 were distributed to the Reporting Person pursuant to the Agreement and Plan of Merger entered into on September 12, 2018, as amended, among CityBase, Inc., Issuer, GTY Technology Holdings Inc., a Cayman Islands company, GTY CB Merger Sub, Inc. and Shareholder Representative Services LLC, as a result of a release from an indemnity escrow account. /s/ Jon C. Bourne 2021-02-23