SEC Form 4 · accession 0001387131-17-001501
PIONEER POWER SOLUTIONS, INC. · PPSI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nathan Mazurek
Officer — Chief Executive Officer · Director · 10% Owner
Period of report
Mar 17, 2017
Accepted (ET)
Mar 20, 2017 · 5:24 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001449792
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 17, 2017 | M | 13,000 | $4.53 | A | 13,000 | D | |
| Common StockF1 | holding | — | — | — | 4,560,000 | I | See |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $4.53 | Mar 17, 2017 | M | 13,000 | D | — | Mar 23, 2017 | Common Stock | 13,000 | 0 | D |
Explanation of responses
- F1These securities are held by Provident Pioneer Partners, L.P. The reporting person is the majority stockholder and a control person of Provident Canada Corp., the general partner of Provident Pioneer Partners, L.P. In such capacity, the reporting person may be deemed to beneficially own these securities.
- F2The option vested as to 4,334 shares on March 24, 2013, 4,333 shares on March 24, 2014, and 4,333 shares on March 24, 2015, subject to the terms and conditions of the Pioneer Power Solution, Inc. 2011 Long-Term Incentive Plan.