0001415889-18-000029.txt : 20180109 0001415889-18-000029.hdr.sgml : 20180109 20180109162823 ACCESSION NUMBER: 0001415889-18-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180105 FILED AS OF DATE: 20180109 DATE AS OF CHANGE: 20180109 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: 18519398 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 2225 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 BUSINESS PHONE: 435-645-2100 MAIL ADDRESS: STREET 1: 299 S. MAIN STREET STREET 2: SUITE 2225 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 form4-01092018_010109.xml X0306 4 2018-01-05 0000050471 PARK CITY GROUP INC PCYG 0001143335 FIELDS RANDALL K C/O PARK CITY GROUP, INC. 299 SOUTH MAIN STREET, SUITE 2225 SALT LAKE CITY UT 84111 true true true false CHIEF EXECUTIVE OFFICER Common Stock 2018-01-05 5 A 0 685 8.08 A 3699214 D Common Stock 650693 I By Riverview Financial Corp. Common Stock 30667 I By Spouse Common Stock 1289230 I By Fields Management Series B Preferred Stock 531432 I By Riverview Financial Corp Series B Preferred Stock 14450 I By Spouse Common Stock 205000 I By Charitable 2010, LLC Series B-1 Preferred Stock 135788 I By Fields Management, Inc. Series B-1 Preferred Stock 147370 I By Riverview Financial Corp Series B-1 Preferred Stock 657 I By Spouse Warrant 3.60 2013-03-14 2018-03-14 Common Stock 6875 6875 D Warrant 10 2015-01-26 2020-01-26 Common Stock 3178 3178 D Warrants 4 2015-02-05 2020-02-05 Common Stock 914065 914065 I By Riverview Financial Corp Warrants 4 2015-02-05 2020-02-05 Common Stock 40250 40250 I By Spouse Shares issued in lieu of cash compensation at a 15% discount to fair market value, pursuant to the Issuer's 2011 Employee Stock Purchase Plan. Includes 5,157 unvested shares of common stock. Includes 771,587 unvested shares of common stock. /s/ Randall K. Fields 2018-01-09