SEC Form 4 · accession 0001209191-16-109814

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

Feb 26, 2016

Accepted (ET)

Mar 21, 2016 · 5:34 pm 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 Stock^F1	Feb 26, 2016	J	691,928	—	D	626,428	I	By Steven M. Mariano Trust
Common Stock^F1	Feb 26, 2016	J	691,928	—	A	1,706,535	I	By Corporation
Common Stock^F2	Mar 16, 2016	P	15,000	$6.17	A	1,721,535	I	By Corporation
Common Stock^F3	Mar 17, 2016	P	15,000	$6.55	A	1,736,535	I	By Corporation
Common Stock^F4	Mar 18, 2016	P	30,000	$6.92	A	1,766,535	I	By Corporation
Common Stock^F5	Mar 21, 2016	J	43,553	—	D	12,022,622	D
Common Stock^F5	Mar 21, 2016	J	43,553	—	A	1,810,088	I	By Corporation

Table II — derivative securities

No Table II lines on this filing.

Explanation of responses

F1On February 26, 2016, the Reporting Person transferred 691,928 shares of common stock from the Steven M. Mariano Trust to a corporation controlled by the Reporting Person for value.
F2The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $6.13 to $6.22, 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 this footnote.
F3The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $6.47 to $6.65, 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 this footnote.
F4The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $6.79 to $7.00, 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 this footnote.
F5On March 21, 2016, the Reporting Person transferred 43,553 shares of common stock to a corporation controlled by the Reporting Person for value.