0001415889-15-002958.txt : 20150901 0001415889-15-002958.hdr.sgml : 20150901 20150901135248 ACCESSION NUMBER: 0001415889-15-002958 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150205 FILED AS OF DATE: 20150901 DATE AS OF CHANGE: 20150901 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FIELDS RANDALL K CENTRAL INDEX KEY: 0001143335 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34941 FILM NUMBER: 151086942 MAIL ADDRESS: STREET 1: 3160 PINEBROOK ROAD CITY: PARK CITY STATE: UT ZIP: 84098 4/A 1 form4a-09012015_100941.xml X0306 4/A 2015-02-05 2015-02-11 0000050471 PARK CITY GROUP INC PCYG 0001143335 FIELDS RANDALL K C/O PARK CITY GROUP, INC. 299 SOUTH MAIN STREET, SUITE 2370 SALT LAKE CITY UT 84111 true true true false CHIEF EXECUTIVE OFFICER Series B Preferred Stock 2015-02-05 4 A 0 5200 0 A 15200 I By Spouse Warrant 4 2015-02-05 4 A 0 914065 A 2015-02-05 2020-02-05 Common Stock 914065 914065 I By Riverview Financial Corp Warrant 4 2015-02-05 4 A 0 40250 A 2015-02-05 2020-02-05 Common Stock 40250 40250 I By Spouse Following the filing of an amendment to the Certificate of Designation of the Relative Rights, Powers and Preference of the Series B Preferred filed by the Issuer on February 5, 2015 (the "Series B Amendment"), shares of Series B Preferred Stock are no longer convertible. The shares and warrants reported herein were issued as consideration for the Reporting Person's consent to the filing of the Series B Amendment. /s/ Randall K. Fields 2015-09-01