0001415889-12-001752.txt : 20121121 0001415889-12-001752.hdr.sgml : 20121121 20121121135943 ACCESSION NUMBER: 0001415889-12-001752 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121006 FILED AS OF DATE: 20121121 DATE AS OF CHANGE: 20121121 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: 121220761 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 form4-11212012_101134.xml X0306 4 2012-10-06 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 3944006 D Common Stock 651152 I By Riverview Financial Corp. Common Stock 30667 I By Spouse Common Stock 166860 I By Fields Management Series A Convertible Preferred Stock 10 2012-10-08 4 J 0 86 3 A 2012-07-03 Common Stock 287 6928 D Series B Convertible Preferred Stock 10 2010-06-30 Common Stock 874065 349626 I By Riverview Financial Corp. Series B Convertible Preferred Stock 10 2010-06-30 Common Stock 25000 10000 I By Spouse 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 2012-11-21