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Filing Detail
Form 3 - Initial statement of beneficial ownership of securities:
SEC Accession No. 0001209191-17-029795
Filing Date
2017-05-03
Accepted
2017-05-03 18:39:04
Documents
2
Period of Report
2017-04-23

Document Format Files

Seq Description Document Type Size
1 FORM 3 SUBMISSION doc3.html 3  
1 FORM 3 SUBMISSION doc3.xml 3 1593
2 POA DOCUMENT poa.txt EX-24.3_721133 1688
  Complete submission text file 0001209191-17-029795.txt   4615
Mailing Address
Business Address
COLEMAN TERRY L (Reporting) CIK: 0001184500 (see all company filings)

State of Incorp.: GA | Fiscal Year End: 1231
Type: 3 | Act: 34 | File No.: 001-36804 | Film No.: 17811080

Mailing Address 401 E. LAS OLAS BLVD. SUITE 1650 FORT LAUDERDALE FL 33301
Business Address 401 E. LAS OLAS BLVD. SUITE 1650 FORT LAUDERDALE FL 33301 (954) 670-2900
Patriot National, Inc. (Issuer) CIK: 0001619917 (see all company filings)

IRS No.: 464151376 | State of Incorp.: DE | Fiscal Year End: 1231
SIC: 6411 Insurance Agents, Brokers & Service