SEC Form 4 · accession 0000904454-16-001202
Paycom Software, Inc. · PAYC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sanjay Swani
Director
Period of report
May 2, 2016
Accepted (ET)
May 4, 2016 · 10:10 am 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 StockF1,F2,F3 | May 2, 2016 | A | 1,283 | $0.00 | A | 114,069 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares awarded under a Restricted Stock Award Agreement pursuant to the Issuer's 2014 Long-Term Incentive Plan, vesting over a period of three years.
- F2The Reporting Person also indirectly beneficially owns 5,065,436 shares of Common Stock held by Welsh, Carson, Anderson & Stowe X, L.P. and 53,828 shares of Common Stock held by WCAS Capital Partners IV, L.P. The 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. 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 also indirectly beneficially owns 50,314 shares of Common Stock held by The Swani Family LLC. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.