SEC Form 4/A · accession 0001209191-16-142948
Patriot National, Inc. · PN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Steven M. Mariano
Officer — See Remarks · Director · 10% Owner
Period of report
Mar 11, 2016
Accepted (ET)
Sep 27, 2016 · 6:15 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,F2,F3 | Mar 11, 2016 | 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
- F1This Amendment is being filed to correct the transaction date reported in the original Form 4 filed on March 24, 2016. The transaction date in the original filing was incorrectly reported as March 11, 2015. The correct transaction date is March 11, 2016.
- F2The 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.
- F3Reflects the securities beneficially owned following the March 11, 2016 purchase reported herein.