0001209191-11-063147.txt : 20111227 0001209191-11-063147.hdr.sgml : 20111226 20111227163925 ACCESSION NUMBER: 0001209191-11-063147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111222 FILED AS OF DATE: 20111227 DATE AS OF CHANGE: 20111227 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: Carrazza Michael A. CENTRAL INDEX KEY: 0001498203 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29599 FILM NUMBER: 111282452 MAIL ADDRESS: STREET 1: 885 THIRD AVENUE; 28TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 4 1 c26308_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-12-22 0001098146 PATRIOT NATIONAL BANCORP INC PNBK 0001498203 Carrazza Michael A. C/O PATRIOT NATIONAL BANCORP, INC. 900 BEDFORD STREET STAMFORD CT 06901 1 1 1 0 Chairman Common Stock 2011-12-22 4 P 0 55000 1.50 A 55000 I Solaia Capital Management Profit Sharing Plan FBO Michael A. Carrazza Common Stock 2011-12-22 4 P 0 1539 1.8442 A 14500 D Common Stock 33600000 I By PNBK Holdings LLC Mr. Carrazza is the managing member of PNBK Sponsor LLC, which is the managing member of PNBK Holdings LLC ("Holdings"); therefore, Mr. Carrazza may be deemed to indirectly beneficially own the shares directly owned by Holdings. /s/ Michael A. Carrazza 2011-12-27