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