0001387131-22-004808.txt : 20220413 0001387131-22-004808.hdr.sgml : 20220413 20220413181515 ACCESSION NUMBER: 0001387131-22-004808 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220411 FILED AS OF DATE: 20220413 DATE AS OF CHANGE: 20220413 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: 22825590 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_041122.xml FORM 4 - MAZUREK X0306 4 2022-04-11 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, par value $0.001 per share 2022-04-11 4 J 0 1850359 0 A 1888359 D The reporting person received the shares as a liquidating distribution from Provident Pioneer Partners, L.P. ("Provident"). In prior reports, the reporting person reported indirect beneficial ownership of 4,560,000 shares of Pioneer Power Solutions, Inc. common stock held by Provident. /s/ Walter Michalec, attorney-in-fact 2022-04-13