0001387131-21-008690.txt : 20210818
0001387131-21-008690.hdr.sgml : 20210818
20210818143808
ACCESSION NUMBER: 0001387131-21-008690
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210818
FILED AS OF DATE: 20210818
DATE AS OF CHANGE: 20210818
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: 211186448
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
mazurek-form4_081821.xml
FORM 4 - MAZUREK
X0306
4
2021-08-18
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
2021-08-18
4
P
0
5000
3.56
A
37000
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
2021-08-18