SEC Form 4 · accession 0000904454-16-001223
Paycom Software, Inc. · PAYC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert A Minicucci
Director
Period of report
May 25, 2016
Accepted (ET)
May 25, 2016 · 7:43 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 | May 25, 2016 | J | 5,065,436 | $0.00 | D | 0 | I | By Welsh, Carson, Anderson & Stowe X, L.P. |
| Common StockF1,F2 | May 25, 2016 | J | 53,828 | $0.00 | D | 0 | I | By WCAS Capital Partners IV, L.P. |
| Common StockF1 | May 25, 2016 | J | 94,254 | $0.00 | A | 399,088 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- 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. 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.