SEC Form 5 · accession 0000899243-17-003932
Paycom Software, Inc. · PAYC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey D. York
Officer — Chief Sales Officer
Period of report
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 10:56 am 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,F3 | Dec 30, 2016 | G | 11,000 | $0.00 | D | 119,638 | D | |
| Common StockF1,F2,F4 | Dec 30, 2016 | G | 11,000 | $0.00 | A | 11,000 | I | By York Charitable Remainder Unitrust |
| Common StockF2,F5 | Dec 30, 2016 | G | 11,000 | $0.00 | D | 0 | I | By spouse |
| Common StockF2,F5,F4 | Dec 30, 2016 | G | 11,000 | $0.00 | A | 22,000 | I | By York Charitable Remainder Unitrust |
| Common StockF2 | holding | — | — | — | 886,231 | I | By JCY Holdings, LP |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1In prior reports, the reporting person reported indirect beneficial ownership of these shares of Paycom Software, Inc. ("PAYC") common stock through JCY Holdings, LP ("JCY Holdings"). On December 30, 2016, the reporting person received such shares of PAYC common stock in the distributions described in footnote (2) and then transferred such shares of PAYC common stock to the York Charitable Remainder Unitrust (the "Trust") pursuant to a gift. See footnote (4) for additional information regarding the Trust.
- F2On December 30, 2016, JCY Holdings distributed 22,000 shares of PAYC common stock on a pro rata basis for no consideration to its general partner and limited partners. The general partner of JCY Holdings is JCY General LLC ("JCY General") and the limited partners of JCY Holdings are the reporting person and his spouse. Each of the reporting person and his spouse owns 50% of the membership interests of JCY General. Upon receipt of shares of PAYC common stock in such distribution, JCY General distributed such shares on a pro rata basis for no consideration to the reporting person and his spouse. Each of the transactions described in this footnote constituted a change in the form of beneficial ownership without a change in pecuniary interest.
- F3Represents unvested shares of restricted stock.
- F4The Trust is a charitable remainder trust of which the reporting person and his spouse are co-trustees and of which the reporting person and his spouse are beneficiaries. The reporting person continues to report beneficial ownership of all of the PAYC common stock held by the Trust but disclaims beneficial ownership except to the extent of his and his spouse's pecuniary interest therein.
- F5In prior reports, the reporting person reported indirect beneficial ownership of these shares of PAYC common stock through JCY Holdings. On December 30, 2016, the reporting person's spouse received such shares of PAYC common stock in the distributions described in footnote (2) and then transferred such shares to the Trust pursuant to a gift. See footnote (4) for additional information regarding the Trust.