SEC Form 5 · accession 0000899243-16-013220
Paycom Software, Inc. · PAYC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Chad R. Richison
Officer — President and CEO · Director · 10% Owner
Period of report
Dec 31, 2015
Accepted (ET)
Feb 12, 2016 · 4:47 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001590955
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Dec 29, 2015 | G | 100,000 | $0.00 | D | 3,893,745 | D | |
| Common StockF3,F4 | holding | — | — | — | 3,670,999 | I | By Ernest Group, Inc. | |
| Common StockF4,F5 | holding | — | — | — | 229,135 | I | By The Ruby Group, Inc. |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the number of shares of common stock gifted by the reporting person to a non-profit organization on December 29, 2015.
- F2Includes 765,927 shares of restricted stock. The amount reported in this column has been adjusted to correct a clerical error in the reporting person's last Form 4.
- F3Represents shares of common stock owned by Ernest Group, Inc. ("Ernest Group"). The reporting person is the sole director of Ernest Group and Ernest Group is owned by the reporting person and certain trusts for the benefit of the reporting person's children, for which the reporting person serves as trustee. The reporting person may be deemed to beneficially own the shares of common stock owned by Ernest Group.
- F4The reporting person disclaims beneficial ownership of these securities, except to the extent of his pecuniary interest therein. Neither the filing of this report nor anything herein shall be deemed an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose, the beneficial owner of such securities.
- F5Represents shares of common stock owned by The Ruby Group, Inc. ("Ruby Group"). The reporting person is the sole director and sole shareholder of Ruby Group and may be deemed to beneficially own the shares of common stock owned by Ruby Group.