SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
BAKER JOHN D II

(Last) (First) (Middle)
200 W. FORSYTH STREET
7TH FLOOR

(Street)
JACKSONVILLE FL 32202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/30/2015
3. Issuer Name and Ticker or Trading Symbol
PATRIOT TRANSPORTATION HOLDING, INC. [ PATI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 27,437 D
Common Stock 2,237 I IRA
Common Stock 49,701 I Held in Living Trust
Common Stock 1,963 I Held by Wife's Living Trust
Common Stock 371,158 I See footnote(1)
Common Stock 1,549 I Held through Profit Sharing Plan
Common Stock 6,667 I See footnote(2)
Common Stock 29,099 I See footnote(3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Shares held by John D. Baker II and Edward L. Baker II, as trustees for the separate trust for John D. Baker II created under the Cynthia L. Baker Trust U/A/D April 30, 1965.
2. Shares held by John D. Baker II Irrevocable Trust #1, which is administered by an independent trustee and is for the benefit of the reporting person's spouse and children. The reporting person disclaims beneficial ownership of these shares.
3. Shares held by Susan Ann Baker Irrevocable Trust, which is administered by the reporting person's brother as trustee and is for the benefit of the reporting person's daughter. The reporting person disclaims any beneficial ownership of these shares.
Remarks:
Exhibit Index Exhibit 24- Power of Attorney
Kelly E. Dunn, as Attorney-in-fact for John D. Baker II 03/02/2015
** 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 5 (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.