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