SEC Form 5 · accession 0000899243-19-001215
Paycom Software, Inc. · PAYC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bradley Scott Smith
Officer — Chief Information Officer
Period of report
Dec 31, 2018
Accepted (ET)
Jan 15, 2019 · 4:24 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 | Dec 4, 2018 | G | 2,000 | $0.00 | D | 23,594 | I | By Bradley Scott Smith Revocable Trust, dated October 30, 2017 |
| Common StockF2 | holding | — | — | — | 22,194 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The Bradley Scott Smith Revocable Trust, dated October 30, 2017 (the "Bradley Scott Smith Revocable Trust") is a revocable trust for the benefit of the reporting person, his spouse, and his children. The reporting person is the trustor and, with his spouse, a co-trustee of the Bradley Scott Smith Revocable Trust. Accordingly, the reporting person reports beneficial ownership of all of the shares of Paycom Software, Inc.'s common stock held by the Bradley Scott Smith Revocable Trust but disclaims beneficial ownership except to the extent of his and his spouse's pecuniary interest therein.
- F2Includes 21,592 unvested shares of restricted stock.