0001415889-12-000049.txt : 20120113
0001415889-12-000049.hdr.sgml : 20120113
20120113143412
ACCESSION NUMBER: 0001415889-12-000049
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120109
FILED AS OF DATE: 20120113
DATE AS OF CHANGE: 20120113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FIELDS RANDALL K
CENTRAL INDEX KEY: 0001143335
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34941
FILM NUMBER: 12526318
MAIL ADDRESS:
STREET 1: 3160 PINEBROOK ROAD
CITY: PARK CITY
STATE: UT
ZIP: 84098
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PARK CITY GROUP INC
CENTRAL INDEX KEY: 0000050471
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 371454128
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 3160 PINEBROOK ROAD
CITY: PARK CITY
STATE: UT
ZIP: 84098
BUSINESS PHONE: 435-645-2000
MAIL ADDRESS:
STREET 1: 3160 PINEBROOK ROAD
CITY: PARK CITY
STATE: UT
ZIP: 84098
FORMER COMPANY:
FORMER CONFORMED NAME: FIELDS TECHNOLOGIES INC
DATE OF NAME CHANGE: 20010626
FORMER COMPANY:
FORMER CONFORMED NAME: AMERINET GROUP COM INC
DATE OF NAME CHANGE: 19990803
FORMER COMPANY:
FORMER CONFORMED NAME: EQUITY GROWTH SYSTEMS INC /DE/
DATE OF NAME CHANGE: 19951214
4
1
form4-01132012_110103.xml
X0304
4
2012-01-09
0000050471
PARK CITY GROUP INC
PCYG
0001143335
FIELDS RANDALL K
3160 PINEBROOK RD
PARK CITY
UT
84098
true
true
true
false
CHIEF EXECUTIVE OFFICER
Common Stock
2012-01-09
4
J
0
1326
2.59
A
3939492
D
Common Stock
651152
I
By Riverview Financial Corp.
Common Stock
30667
I
By Spouse
Common Stock
90467
I
By Fields Management
Series A Convertible Preferred Stock
10.00
2012-01-10
4
J
0
83
3.00
A
2012-01-10
Common Stock
277
6675
D
Series B Convertible Preferred Stock
10.00
2010-06-30
Common Stock
874065
349626
I
By Riverview Financial Corp.
Series B Convertible Preferred Stock
10.00
2010-06-30
Common Stock
25000
10000
I
By Spouse
Shares were issued in lieu of cash compensation at a 15% discount to fair market value, pursuant to the Company's Employee Stock Purchase Plan.
Shares were issued in lieu of cash dividends payable on Series A Convertible Preferred Stock.
Series A Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding
Series B Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding
/s/ Randall K. Fields
2012-01-13