4   0001387131-17-001501

Ownership: Statement of changes in beneficial ownership. Insider trading ( Directors, Officers, Significant Shareholders )

filing date
March 20, 2017
period ending
March 17, 2017
date of filing date change
March 20, 2017
Signed By
Nathan Mazurek
accession number
0001387131-17-001501
type
4
public document count
1
Key documents and exhibits
Link: Type Id filename
OWNERSHIP DOCUMENT 4 1 mazurek-form4_031717.xml
Issuer:
PIONEER POWER SOLUTIONS, INC. [PPSI]
Reporting Owner:
MAZUREK NATHAN 10% owner, Director, Officer, Chief Executive Officer,
Date of Event Req Stmt
2017-03-17
Type Title Conv/Exer price Trans. date Deemed Exe date Trans Form Type Trans Code Eqty swap? Footnote id Trans timelines # Shares Value Total Value Price / share Acq or Disp Date exercisable Expiration date # Owned post trans Value Owned post trans Underlying security title # Underlying securities Value underlying securities Direct or Indirect own Nature indirect own
Non-Derriv. transCommon Stock2017-03-174M : Exer. or conv. of deriv. security exemptedFalse130004.53A13000D
Non-Derriv. holdingCommon Stock4560000ISee
Derriv. transStock Option (Right to Buy)4.532017-03-174M : Exer. or conv. of deriv. security exemptedFalse130000D2017-03-230Common Stock13000D
F1
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.
F2
The option vested as to 4,334 shares on March 24, 2013, 4,333 shares on March 24, 2014, and 4,333 shares on March 24, 2015, subject to the terms and conditions of the Pioneer Power Solution, Inc. 2011 Long-Term Incentive Plan.
Signed by
[ /s/ Nathan Mazurek ] on 2017-03-20
Type Filing Company SIC Rel IRS # State of INC FY End Mailing address Former Filing Vals
issuer
PIONEER POWER SOLUTIONS, INC.
Cik: 0001449792
400 KELBY STREET, 9TH FLOOR
ONE PARKER PLAZA
FORT LEE,  NJ,  07024
  USA
3612 -
Power, Distribution & Specialty Transformers
USA [ DE ] 1231
400 KELBY STREET, 9TH FLOOR
ONE PARKER PLAZA
FORT LEE,  NJ,  07024
  USA
Nov. 12, 2008SIERRA CONCEPTS, INC.
Nov. 12, 2008SIERRA CONCEPTS
Type Filing Reporting Owner Company SIC Rel IRS # State of INC FY End Mailing address Former Filing Vals
reporting owner
MAZUREK NATHAN ( CIK: 0001241562 )
State of INC USA [ DE ]
FY End

Cik:

C/O PIONEER POWER SOLUTIONS, INC.
400 KELBY STREET 9TH FLOOR
FORT LEE,  NJ,  07024
  USA
form type4
act34
file number001-35212
film number17702317