0001415889-13-000637.txt : 20130403 0001415889-13-000637.hdr.sgml : 20130403 20130403195517 ACCESSION NUMBER: 0001415889-13-000637 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130402 FILED AS OF DATE: 20130403 DATE AS OF CHANGE: 20130403 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: 13741347 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 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 299 S. MAIN STREET STREET 2: SUITE 2370 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 BUSINESS PHONE: 435-645-2100 MAIL ADDRESS: STREET 1: 299 S. MAIN STREET STREET 2: SUITE 2370 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 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 form4-04032013_110408.xml X0306 4 2013-04-02 0000050471 PARK CITY GROUP INC PCYG 0001143335 FIELDS RANDALL K 299 SOUTH MAIN STREET SUITE 2370 SALT LAKE CITY UT 84111 true false false false Common Stock 2013-04-02 4 C 0 24257 3 A 3990549 D Series A Convertible Preferred Stock 3 2013-04-02 4 C 0 7277 D Common Stock 24257 0 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 Warrant 3.60 2013-03-14 2018-03-14 Common Stock 6875 6875 D The Reporting Person disposed of shares of Series A Convertible Preferred Stock ("Series A Preferred") as reported in Table II, and acquired shares of Common Stock reported in Table I pursuant to conversion rights under the Certificate of Designation of the Relative Rights, Powers and Preference of the Series A Preferred (the "Certificate of Designation"). Each share of Series A Preferred is convertible in that number of shares of Issuer's Common Stock determined by dividing the Series A Original Issue Price, as defined in the Certificate of Designation as $10.00 per Share, by $3.00. Includes 175 shares of Series A Preferred issued to the Reporting Person as consideration for accumulated Series A Preferred dividends as of April 2, 2013. The Series A Preferred are exercisable upon issuance. The Series A Preferred 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 2013-04-03