SEC Form 4 · accession 0001562180-15-000687
Paylocity Holding Corp · PCTY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael R Haske
Officer — Senior VP of Sales & Marketing
Period of report
Aug 17, 2015
Accepted (ET)
Aug 19, 2015 · 1:57 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001591698
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.001F1 | Aug 17, 2015 | A | 35,000 | $0.00 | A | 1,661,536 | D | |
| Common Stock, par value $0.001F2 | Aug 17, 2015 | A | 25,200 | $0.00 | A | 1,686,736 | D | |
| Common Stock, par value $0.001 | Aug 18, 2015 | F | 854 | $35.28 | D | 1,685,882 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F3 | $35.28 | Aug 17, 2015 | A | 26,000 | A | Aug 17, 2016 | Aug 17, 2025 | Common Stock | 26,000 | 26,000 | D |
Explanation of responses
- F1Reflects the grant of restricted stock units (RSUs) that will entitle Reporting Person to receive one (1) share of Common Stock per RSU. The RSUs will vest annually in four equal installments beginning on August 17, 2016. The grant will be settled pursuant to the terms of the Issuer's 2014 Equity Incentive Plan.
- F2Reflects the grant of restricted stock units (RSUs) that will entitle Reporting Person to receive one (1) share of Common Stock per RSU. The RSUs vest 50% following fiscal year 2018 and 50% following fiscal year 2019, with the ultimate amount vested dependent upon the attainment of certain performance benchmarks. The grant will be settled pursuant to the terms of the Issuer's 2014 Equity Incentive Plan.
- F3The option is exercisable with respect to 6,500 shares on August 17, 2016, with an additional 6,500 shares exercisable on August 17th of each subsequent year until all option shares are exercisable.