SEC Form 4 · accession 0000899243-15-003335
Patriot National, Inc. · PN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven M. Mariano
Officer — See Remarks · Director · 10% Owner
Period of report
Aug 17, 2015
Accepted (ET)
Aug 18, 2015 · 8:00 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001619917
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 17, 2015 | P | 26,934 | $15.82 | A | 862,929 | I | By Steven M. Mariano Trust |
| Common StockF2 | Aug 17, 2015 | P | 50,000 | $16.05 | A | 912,929 | I | By Steven M. Mariano Trust |
| Common Stock | holding | — | — | — | 14,541,175 | D | ||
| Common Stock | holding | — | — | — | 979,607 | I | By Corporation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $15.65 to $16.10, inclusive. The reporting person undertakes to provide to Patriot National, Inc., any security holder of Patriot National, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in footnotes (1) and (2) to this Form 4.
- F2The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $15.87 to $16.25, inclusive.
Remarks
President and Chief Executive Officer The Reporting Person disclaims beneficial ownership of the securities reported herein as indirectly beneficially owned, except to the extent of his pecuniary interest therein.