0000899243-16-013815.txt : 20160219 0000899243-16-013815.hdr.sgml : 20160219 20160219100824 ACCESSION NUMBER: 0000899243-16-013815 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160217 FILED AS OF DATE: 20160219 DATE AS OF CHANGE: 20160219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRIOT NATIONAL BANCORP INC CENTRAL INDEX KEY: 0001098146 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 061559137 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 900 BEDFORD ST CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 2033247500 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van den Bol Emile CENTRAL INDEX KEY: 0001500964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29599 FILM NUMBER: 161440463 MAIL ADDRESS: STREET 1: C/O PATRIOT NATIONAL BANCORP, INC. STREET 2: 900 BEDFORD STREET CITY: STAMFORD STATE: CT ZIP: 06901 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-02-17 0 0001098146 PATRIOT NATIONAL BANCORP INC PNBK 0001500964 Van den Bol Emile C/O PATRIOT NATIONAL BANCORP, INC. 900 BEDFORD STREET STAMFORD CT 06901 1 0 0 0 Common Stock 2016-02-17 4 A 0 1471 0.00 A 6073 D Common Stock 2970 I By Brooklawn Capital Fund On February 17, 2016, Mr. Van den Bol was granted a total of 1,471 shares of the Issuer's restricted common stock, which vest annually in equal installments over four years beginning one year from the date of grant. Mr. Van den Bol is the sole owner of Brooklawn Capital Fund ("Brooklawn") and may therefore be deemed to indirectly beneficially own the shares held by Brooklawn. /s/ Emile Van den Bol 2016-02-19