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Filing Details

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1619917	Patriot National Inc.	PN	Insurance Agents, Brokers & Service (6411)	464151376

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1481965	J. Timothy Ermatinger	C/O Patriot National, Inc. 401 E. Las Olas Blvd., Suite 1650 Fort Lauderdale FL 33301	See Remarks	No	Yes	No	No

Reported Non-Derivative Transactions

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Disposition	2015-12-01	7,500	$14.31	40,882	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	48,382	Direct

Reported Derivative Holdings

Sec. Name	Sec. Type	Price	Date	Expiration Date	Amount	Remaning Holdings	Nature of Ownership
Common Stock	Stock Option	$14.00		2025-01-15	35,294	35,294	Direct

Expiration Date	Amount	Remaning Holdings	Nature of Ownership
2025-01-15	35,294	35,294	Direct

Footnotes

The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $14.03 to $14.53, inclusive. The reporting person undertakes to provide to Patriot National, Inc., any security holder of Patriot National, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the numbers of shares purchased at each separate price within the range set forth in this footnote to this Form 4.
The option vests in three equal annual installments beginning on January 15, 2016.