----------
FORM 4
----------
[X] Check this box if no longer --------------------------
subject to Section 16. Form 4 OMB APPROVAL
or Form 5 obligations may --------------------------
continue. See Instruction 1(b). OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per respsonse....0.5
--------------------------
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
------------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker Trading Symbol 6. Relationship of Reporting
Person(s) to Issuer
Park City Group, Inc. PKCY (Check all applicable)
Ray Barbara J. [ ] Director [ ] 10% Owner
----------------------------------------------------------------------------------------------- [X] Officer(give [ ] Other (specify
(Last) (First) (Middle) 3. IRS Identification 4. Statement for Month/Year title below below)
Number of Reporting CFO & Corporate Secretary
333 Main Street #300, P.O. Box 5000 Person, if an entity 9/17/02 ------------------------------
------------------------------------------ (voluntary) ---------------------------- ------------------------------------
(Street) 5. If Amendment, Date 7.Individual or Joint/Group
of Original Filing (Check Applicable Line)
Park City UT 84060 (Month/Year) [X] Form filed by One Reporting
-------------------------------------------- Person
(City) (State) (Zip) [ ] Form filed by More than One
Reporting Person
-----------------------------------------------------------------------------------------------------------------------------------
TABLE 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
-----------------------------------------------------------------------------------------------------------------------------------
1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired(A) 5. Amount of 6.Owner- 7. Nature of
(Instr. 3) action Code or Disposed of (D) Securities ship Indirect
Date (Instr.8) (Instr. 3,4 and 5) Beneficially Form: Beneficial
(Month/ -------------- ------------------------- Owned at End Direct (D) Ownership
Day/ Amount (A) or Price of Month or Indirect (Instr.4)
Year) Code V (D) (Instr. 3 and 4) (I) (Instr.4)
-----------------------------------------------------------------------------------------------------------------------------------
None
-----------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction on 4(b)(v).
FORM 4 (CONTINUED) Table II -- Derivative Securities Acquired, Disposed of, or Benficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
-----------------------------------------------------------------------------------------------------------------------------------
1.Title of 2.Conver- 3.Trans- 4.Tansac- 5.Number of 6.Date Exercis- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Derivative sion or action tion Derivative able and Amount of of of Deri- ship of In-
Security Exercise Date Code Securities Expiration Underlying Deri- vative Form of direct
(Instr.3) Price of (Month/ (Instr.8) Acquired Date Securities vative Secur- Deriva- Bene-
Deri- Day/ (A) or (Month/Day/ (Intr. 3 Secu- ities tive ficial
vative Year) Disposed Year) and 4) rity Benefi- Security: Owner-
Security of (D) ----------------- ------------- (Instr. cially Direct ship
(Instr.3, Amount 5) Owned (D) or (Instr.
4 and 5) or at End Indirect 4)
Date Expir- Title Number of (I)
Exer- ation of Month (Instr.4)
Code V (A) (D) cisable Date Shares (Instr.4)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: Resignation of Park City Group, Inc., Chief Financial Officer and Corporate Secretary per attached letter.
/s/ Barbara J. Ray (1) 9/17/02
-------------------------------- --------
Signature of Reporting Person Date
(1) Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see
Instruction 6 for procedure.
Potential persons who are to respond to the collection of information in this form are not required to respond
unless the form displays a valid OMB Number.
[PARK CITY GROUP, INC. LETTERHEAD]
333 Main Street #300
P.O. Box 5000
Park City, UT 84060
(435) 649-2221
Fax: (435) 645-2110
September 17, 2002
Randall K. Fields
President and CEO
Park City Group, Inc.
333 Main Street #300
P.O. Box 5000
Park City, UT 84060
Re: Barbara J. Ray
Dear Randy:
I regret to inform you that I will be leaving the employment of Park City Group
as well as resigning from my current duties as Chief Financial Officer and
Corporate Secretary in order to pursue other interests. My last day is effective
September 17, 2002.
It has been a pleasure working here. Please feel free to call me if you have
questions.
Sincerely,
/s/ Barbara J. Ray
------------------------
Barbara J. Ray
BJR/egis