SEC Form 4 · accession 0001209191-16-095734
Patriot National, Inc. · PN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles H. Walsh
Director
Period of report
Feb 2, 2016
Accepted (ET)
Feb 4, 2016 · 4:25 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001619917
Table I — non-derivative securities
No Table I lines on this filing.
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) | $7.09 | Feb 2, 2016 | A | 3,526 | A | Feb 2, 2016 | Feb 2, 2026 | Common Stock | 3,526 | 3,526 | D |