Filing Details

Accession Number:
0000899243-15-004624
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-09-09 18:30:57
Reporting Period:
2015-09-04
Filing Date:
2015-09-09
Accepted Time:
2015-09-09 18:30:57
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1619917 Patriot National Inc. PN Insurance Agents, Brokers & Service (6411) 464151376
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1480753 M. Steven Mariano C/O Patriot National, Inc.
401 East Las Olas Boulevard, 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 2015-09-04 65,400 $16.45 1,207,398 No 4 P Indirect By Steven M. Mariano Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Steven M. Mariano Trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 14,551,327 Direct
Common Stock 1,014,607 Indirect By Corporation
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $16.10 to $16.92, 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 (1) to this Form 4.