SEC Form 4 · accession 0001209191-15-021999
Patriot National, Inc. · PN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael W. Grandstaff
Officer — Executive Vice President
Period of report
Mar 2, 2015
Accepted (ET)
Mar 4, 2015 · 12:21 pm EST
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 Stock | Mar 2, 2015 | A | 20,588 | $0.00 | A | 69,976 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $13.52 | Mar 2, 2015 | A | 41,177 | A | — | Mar 2, 2025 | Common Stock | 41,177 | 41,177 | D |
Explanation of responses
- F1Award of restricted stock that vests in three equal annual installments beginning on February 11, 2016.
- F2The option vests in three equal annual installments beginning on February 11, 2016.