SEC Form 4 · accession 0001209191-16-110404
Patriot National, Inc. · PN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Steven M. Mariano
Officer — See Remarks · Director · 10% Owner
Period of report
Mar 11, 2016
Accepted (ET)
Mar 24, 2016 · 4:04 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 StockF1 | Mar 11, 2015 | P | 100,000 | $5.73 | A | 1,910,088 | I | By Corporation |
| Common Stock | holding | — | — | — | 12,022,622 | D | ||
| Common Stock | holding | — | — | — | 626,428 | I | By Steven M. Mariano Trust |
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 $5.51 to $6.00, 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 numbers of shares purchased at each separate price within the range set forth in this footnote to this Form 4.