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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Restricted Share Rights | $ 0 | 12/31/2000 | Â | A | 6,779 | Â | Â (1) | 12/31/2004 | Common Stock | (2) | 0 | Â | ||
Restricted Share Rights | $ 0 | 12/31/2001 | Â | A | 5,797 | Â | Â (1) | 12/31/2005 | Common Stock | (2) | 1,450 | Â | ||
Restricted Share Rights | $ 0 | 12/31/2002 | Â | A | 5,187 | Â | Â (1) | 12/31/2006 | Common Stock | (2) | 2,680 | Â | ||
Restricted Share Rights | $ 0 | 12/31/2003 | Â | A | 4,537 | Â | Â (1) | 12/31/2007 | Common Stock | (2) | 3,403 | Â | ||
Stock Appreciation Rights | $ 7.08 | 12/31/2000 | Â | A | 10,000 | Â | 12/31/2004 | 12/31/2010 | Common Stock | (2) | 10,000 | Â | ||
Stock Appreciation Rights | $ 8.28 | 12/31/2001 | Â | A | 10,000 | Â | 12/31/2002 | 12/31/2011 | Common Stock | (2) | 7,500 | Â | ||
Stock Appreciation Rights | $ 9.84 | 12/31/2002 | Â | A | 10,000 | Â | 12/31/2003 | 12/31/2012 | Common Stock | (2) | 5,000 | Â | ||
Stock Appreciation Rights | $ 11.9 | 12/31/2003 | Â | A | 10,000 | Â | 12/31/2004 | 12/31/2013 | Common Stock | (2) | 2,500 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOWELL CHARLES F C/O PATRIOT NATIONAL BANK 900 BEDFORD STREET STAMFORD, CT 06901 |
 X |  |  President |  |
/s/ Charles F. Howell | 01/19/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | No Restricted Shares were available for grant under restricted stock program at 12/31/00 - 03. Of the 6,779 restricted share rights granted 12/31/00, 1,694 vested and were exchanged for cash on each of 12/31/01, 12/31/02 and 12/31/03, and 1,695 vested and were paid in cash 12/31/04. Of the 5,797 restricted share rights granted 12/31/01, 1,449 vested and were exchanged for cash on each of 12/31/02, 12/31/03 and 12/31/04, and 1,450 will vest on 12/31/05. Of the 5,182 restricted shares rights granted 12/31/02, 1,251 vested and were exchanged for cash on each of 12/31/03 and 12/31/04 and 1,385 will vest on 12/31/05 and 1,295 will vest 12/31/06. Of the 4,537 restricted share rights granted on 12/31/03, 1,134 vested and were exchanged for cash on 12/31/04 and 1,154 will vest on each of 12/31/05, 12/31/06 and 12/31/07 |
(2) | All awards were made for services rendered. |