Filing Details

Accession Number:
0001415889-11-000381
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-05-18 14:32:21
Reporting Period:
2011-04-14
Filing Date:
2011-05-18
Accepted Time:
2011-05-18 14:32:21
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
50471 Park City Group Inc PCYG Services-Computer Processing & Data Preparation (7374) 371454128
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1143335 K Randall Fields 3160 Pinebrook Rd
Park City UT 84098
Chief Executive Officer No No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-05-18 400 $3.90 650,752 No 4 P Indirect By Riverview Financial Corp.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Riverview Financial Corp.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A Convertible Preferred Stock Acquisiton 2011-04-14 78 $3.00 260 $10.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
6,430 2011-04-14 No 4 J Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 3,947,145 Direct
Common Stock 30,667 Indirect By Spouse
Common Stock 14,073 Indirect By Fields Management
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Series B Convertible Preferred Stock $10.00 2010-06-30 874,065 349,626 Indirect
Common Stock Series B Convertible Preferred Stock $10.00 2010-06-30 25,000 10,000 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
874,065 349,626 Indirect
25,000 10,000 Indirect
Footnotes
  1. Shares were issued in lieu of cash dividends payable on Series A Convertible Preferred Stock.
  2. Series A Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding
  3. Series B Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding.
  4. Series B Convertible Preferred Stock remains convertible so long as the shares remain issued and outstanding.