SEC Form 4 · accession 0000904454-15-000193

Paycom Software, Inc. · PAYC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

10% Owner

Period of report

Mar 9, 2015

Accepted (ET)

Mar 10, 2015 · 4:12 pm EDT

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 Stock^F1,F2	Mar 9, 2015	J	4,947,427	—	D	16,979,027	I	By Welsh, Carson, Anderson & Stowe X, L.P.
Common Stock^F1,F2	Mar 9, 2015	J	52,573	—	D	180,425	I	By WCAS Capital Partners IV, L.P.
Common Stock^F1	Mar 9, 2015	J	134,998	—	A	134,998	D
Common Stock^F1,F3	Mar 9, 2015	J	30,548	—	A	30,548	I	By JMR4 Holdings LLC
Common Stock^F1,F2	Mar 9, 2015	J	53,101	—	A	170,811	I	By WCAS Management Corporation

No Table II lines on this filing.

F1In kind distribution of shares by Welsh, Carson, Anderson & Stowe X, L.P. and WCAS Capital Partners IV, L.P. pro rata to their respective partners.
F2The Reporting Person is a managing member of the respective sole general partners of Welsh, Carson, Anderson & Stowe X, L.P. and WCAS Capital Partners IV, L.P, and the controlling stockholder of WCAS Management Corporation. Pursuant to Instruction (4)(b)(iv) of Form 4, the Reporting Person has elected to report as indirectly beneficially owned the entire number of securities beneficially owned by each such entity. The Reporting Person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein and/or that are not actually distributed to him.
F3The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest, if any, therein.