0001209191-11-058973.txt : 20111202 0001209191-11-058973.hdr.sgml : 20111202 20111202122728 ACCESSION NUMBER: 0001209191-11-058973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 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: Maher Christopher CENTRAL INDEX KEY: 0001343583 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29599 FILM NUMBER: 111239425 MAIL ADDRESS: STREET 1: 209 HAVEMEYER STREET CITY: BROOKLYN STATE: NY ZIP: 11211 4 1 c25510_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-11-30 0001098146 PATRIOT NATIONAL BANCORP INC PNBK 0001343583 Maher Christopher C/O PATRIOT NATIONAL BANCORP, INC. 900 BEDFORD STREET STAMFORD CT 06901 1 1 0 0 President and CEO Common Stock 2011-11-30 4 P 0 9300 1.80 A 20300 D Common Stock 2011-11-30 4 P 0 700 1.80 A 21000 D Stock Option (right to buy) 2.20 2020-10-25 Common Stock 750000 750000 D The option becomes exercisable as to 20% of the underlying shares on an annual basis for 5 years beginning on October 15, 2011. /s/ Christopher D. Maher 2011-12-02