-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LJatB+bgQwW7RgoHhpuvatEv/2ahqA/DlfPzgeHdWbZHsLKZAKFcAUTCHWAox7QQ I9jGEmY0B5/qiSHowqj4Hw== 0000921530-06-000251.txt : 20060406 0000921530-06-000251.hdr.sgml : 20060406 20060406105456 ACCESSION NUMBER: 0000921530-06-000251 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20060406 DATE AS OF CHANGE: 20060406 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-58533 FILM NUMBER: 06744038 BUSINESS ADDRESS: STREET 1: 900 BEDFORD ST CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 2033247500 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Harvey Sandler Revocable Trust CENTRAL INDEX KEY: 0001323253 IRS NUMBER: 134328652 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 21170 N. E. 22ND COURT CITY: NORTH MIAMI BEACH STATE: FL ZIP: 33180 BUSINESS PHONE: 954-389-7100 MAIL ADDRESS: STREET 1: 21170 N. E. 22ND COURT CITY: NORTH MIAMI BEACH STATE: FL ZIP: 33180 SC 13G/A 1 sandler_13ga1-040506.txt SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* PATRIOT NATIONAL BANCORP, INC. ------------------------------ (Name of Issuer) Common Stock, $2.00 par value per share --------------------------------------- (Title of Class of Securities) 70336F104 --------- (CUSIP Number) December 31, 2005 ---------------- (Date of Event which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [X] Rule 13d-1(c) [ ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 70336F104 Page 2 of 4 1 Names of Reporting Persons I.R.S. Identification Nos. of above persons (entities only) HARVEY SANDLER REVOCABLE TRUST 2 Check the Appropriate Box If a Member of a Group (See Instructions) a. [ ] b. [ ] 3 SEC Use Only 4 Citizenship or Place of Organization FLORIDA 5 Sole Voting Power 165,082 Number of Shares Beneficially 6 Shared Voting Power Owned By 0 Each Reporting 7 Sole Dispositive Power Person 165,082 With 8 Shared Dispositive Power 0 9 Aggregate Amount Beneficially Owned by Each Reporting Person 165,082 shares of Common Stock 10 Check Box If the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) [ ] 11 Percent of Class Represented By Amount in Row (9) 5.1% 12 Type of Reporting Person (See Instructions) OO CUSIP No. 70336F104 Page 3 of 4 Amendment No. 1 to Schedule 13G This Amendment No. 1 to Schedule 13G relating to the common stock of Patriot National Bancorp, Inc. is being filed to reflect the shares of the Issuer's Common Stock benenfically owned by the rpeorting person as of December 31, 2005 Item 4. Ownership: Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. Harvey Sandler Revocable Trust (a) Amount beneficially owned: 165,082 shares of Common Stock, $2.00 par value, of Patriot National Bancorp, Inc. (b) Percent of class: 5.1% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 165,082 shares (ii) Shared power to vote or to direct the vote: 0 shares (iii) Sole power to dispose or to direct the disposition of: 165,082 shares (iv) Shared power to dispose or to direct the disposition of: 0 shares Item 10. Certification: By signing below the undersigned certifies that, to the best of such person's knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the Issuer of such securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect. CUSIP No. 70336F104 Page 4 of 4 SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Date: April 5, 2006 HARVEY SANDLER REVOCABLE TRUST By: --------------------- Name: Harvey Sandler Title: Sole Trustee -----END PRIVACY-ENHANCED MESSAGE-----