SEC Form 4 · accession 0001209191-17-003238
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
Jan 5, 2017
Accepted (ET)
Jan 10, 2017 · 5:22 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 StockF2 | Jan 5, 2017 | S | 3,130 | $5.00 | D | 12,019,485 | D | |
| Common StockF3 | Jan 10, 2017 | S | 4,247 | $5.01 | D | 12,015,238 | D | |
| Common Stock | holding | — | — | — | 626,428 | I | By Steven M. Mariano Trust | |
| Common Stock | holding | — | — | — | 1,980,088 | I | By Corporation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan.
- F2The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.00 to $5.03, 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 $5.00 to $5.04, 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.
Remarks
President and Chief Executive Officer. The Reporting Person disclaims beneficial ownership of the securities reported herein as indirectly owned, except to the the extent of his pecuniary interest therein.