Filing Details

Accession Number:
0001209191-16-142948
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2016-09-27 18:15:24
Reporting Period:
2016-03-11
Filing Date:
2016-09-27
Accepted Time:
2016-09-27 18:15:24
Original Submission Date:
2016-03-24
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1619917 Patriot National Inc. PN () 4/A
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1480753 M. Steven Mariano C/O Patriot National, Inc.
401 E. Las Olas Blvd., Suite 1650
Fort Lauderdale FL 33301
See Remarks Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-03-11 100,000 $5.73 1,910,088 No 4 P Indirect By Corporation
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Corporation
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 12,022,622 Direct
Common Stock 626,428 Indirect By Steven M. Mariano Trust
Footnotes
  1. This 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.
  2. The 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.
  3. Reflects the securities beneficially owned following the March 11, 2016 purchase reported herein.