SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Staudmyer Frederick

(Last) (First) (Middle)
C/O PATRIOT NATIONAL BANCORP, INC.
900 BEDFORD STREET

(Street)
STAMFORD CT 06901

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PATRIOT NATIONAL BANCORP INC [ PNBK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Secretary and Chief HR Officer
3. Date of Earliest Transaction (Month/Day/Year)
05/21/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
04/03/2019
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/21/2018 S 200 D $3,900 5,327 D
Common Stock 06/05/2018 S 300 D $6,000 5,027 D
Common Stock 08/17/2018 S 200 D $3,960 4,827 D
Common Stock 08/23/2018 S 300 D $5,880 4,527 D
Common Stock 09/06/2018 S 200 D $3,940 4,327 D
Common Stock 09/11/2018 S 100 D $2,155 4,227 D
Common Stock 11/27/2018 S 100 D $1,750 4,127 D
Common Stock 03/01/2019 S 400 D $5,780 3,727 D
Common Stock 03/05/2019 S 400 D $6,000 3,327 D
Common Stock 03/08/2019 S 400 D $5,784 2,927 D
Common Stock 03/12/2019 S 275 D $4,048 2,652 D
Common Stock 04/01/2019 A 551(1) A $0 3,203(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. On April 1, 2019, the Reporting Person was granted 551 shares of the Issuer's common stock which vest annually in equal installments over three years (183 shares, 184 shares and 184 shares respectively as of December 31, 2019, 2020 and 2021).
2. The Form 4 filed by the Reporting Person on April 3, 2019 disclosed that since the previous filing on May 29, 2018 (as of which day the Reporting Person owned a total of 5,527 shares), the Reporting Person sold a total of 2,875 shares of the Issuer's common stock. This amendment is being filed to disclose the information of the sales of such 2,875 shares.
/s/ Frederick Staudmyer 04/04/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.