SEC Form 4 · accession 0001474506-16-000248
PATRIOT TRANSPORTATION HOLDING, INC. · PATI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thompson S Baker II
Officer — President & CEO · Director
Period of report
Nov 16, 2016
Accepted (ET)
Nov 21, 2016 · 10:41 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001616741
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 33,908 | D | ||
| Common Stock | holding | — | — | — | 7 | I | Profit Sharing Plan | |
| Common StockF1 | holding | — | — | — | 6 | I | See footnote | |
| Common Stock | holding | — | — | — | 733 | I | Shares held by Wife | |
| Common StockF2 | holding | — | — | — | 2,199 | I | See footnote | |
| Common StockF3 | holding | — | — | — | 141,158 | I | See footnote | |
| Common StockF4 | holding | — | — | — | 240 | I | See footnote |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common StockF5 | $21.25 | Nov 16, 2016 | M | 13,130 | A | Nov 16, 2017 | Nov 15, 2026 | Common Stock | 13,130 | 13,130 | D |
Explanation of responses
- F1Shares held as beneficiary of an employee stock purchase plan.
- F2Shares held in trust by the reporting person and his wife for the benefit of the reporting person's children.
- F3Shares held by Edward L. Baker and Thompson S. Baker II, as trustees for the separate trust for Edward L. Baker created under the Cynthia L. Baker Trust U/A/D April 30, 1965. The reporting person disclaims beneficial ownership of these shares.
- F4Shares held by the Ann McDonald Baker Trust, to which the reporting person is a beneficiary and for which the reporting person serves as co-trustee.
- F5The reporting person was awarded stock options pursuant to the Issuer's Equity Incentive Plan. Options vest ratably over 5 years commencing on the first anniversary of the grant date.