0001387131-21-006314.txt : 20210603 0001387131-21-006314.hdr.sgml : 20210603 20210603150627 ACCESSION NUMBER: 0001387131-21-006314 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210603 DATE AS OF CHANGE: 20210603 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAZUREK NATHAN CENTRAL INDEX KEY: 0001241562 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35212 FILM NUMBER: 21992220 MAIL ADDRESS: STREET 1: C/O PIONEER POWER SOLUTIONS, INC. STREET 2: 400 KELBY STREET 9TH FLOOR CITY: FORT LEE STATE: NJ ZIP: 07024 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PIONEER POWER SOLUTIONS, INC. CENTRAL INDEX KEY: 0001449792 STANDARD INDUSTRIAL CLASSIFICATION: POWER, DISTRIBUTION & SPECIALTY TRANSFORMERS [3612] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 KELBY STREET, 12TH FLOOR CITY: FORT LEE STATE: NJ ZIP: 07024 BUSINESS PHONE: 212-867-0700 MAIL ADDRESS: STREET 1: 400 KELBY STREET, 12TH FLOOR CITY: FORT LEE STATE: NJ ZIP: 07024 FORMER COMPANY: FORMER CONFORMED NAME: SIERRA CONCEPTS, INC. DATE OF NAME CHANGE: 20081112 FORMER COMPANY: FORMER CONFORMED NAME: SIERRA CONCEPTS DATE OF NAME CHANGE: 20081112 4 1 form4.xml FORM 4 - MAZUREK X0306 4 2021-06-02 0 0001449792 PIONEER POWER SOLUTIONS, INC. PPSI 0001241562 MAZUREK NATHAN C/O PIONEER POWER SOLUTIONS, INC. 400 KELBY STREET 12TH FLOOR FORT LEE NJ 07024 1 1 1 0 Chief Executive Officer Common Stock 2021-06-02 4 P 0 1000 4.241 A 32000 D Common Stock 4560000 I See Footnote These securities are held by Provident Pioneer Partners, L.P. The reporting person is the majority stockholder and a control person of Provident Canada Corp., the general partner of Provident Pioneer Partners, L.P. In such capacity, the reporting person may be deemed to beneficially own these securities. /s/ Walter Michalec, attorney-in-fact 2021-06-03