0001387131-21-011281.txt : 20211118 0001387131-21-011281.hdr.sgml : 20211118 20211118150615 ACCESSION NUMBER: 0001387131-21-011281 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210513 FILED AS OF DATE: 20211118 DATE AS OF CHANGE: 20211118 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: 211424012 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_051321.xml FORM 4 - MAZUREK X0306 4 2021-05-13 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 Stock Option (Right to Buy) 3.31 2021-05-13 4 A 0 51667 0 A 2031-05-13 Common Stock 51667 51667 D Stock Option (Right to Buy) 3.31 2021-05-13 4 A 0 10000 0 A 2031-05-13 Common Stock 10000 10000 D The option will vest in full on May 13, 2022, provided that the Reporting Person is still providing services to the Company on such vesting date. /s/ Walter Michalec, attorney-in-fact 2021-11-18