Initial Statement of Beneficial Ownership (3)
April 20 2020 - 11:49AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Michalec Wojciech |
2. Date of Event Requiring Statement (MM/DD/YYYY)
4/15/2020
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3. Issuer Name and Ticker or Trading Symbol
PIONEER POWER SOLUTIONS, INC. [PPSI]
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(Last)
(First)
(Middle)
C/O PIONEER POWER SOLUTIONS, INC., 400 KELBY STREET,12TH FLOOR |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Interim CFO / |
(Street)
FORT LEE, NJ 07024
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Incentive Stock Option (Right to Buy) | (1) | 3/6/2024 | Common Stock | 1000 | $10.21 | D | |
Employee Stock Option (Right to Buy) | (2) | 3/31/2030 | Common Stock | 10000 | $1.679 | D | |
Explanation of Responses: |
(1) | 333 shares of this option vested and became exercisable on March 6, 2015, an additional 333 shares of this option vested and became exercisable on March 6, 2016, and the remaining 334 shares of this option vested and became exercisable on March 6, 2017. |
(2) | The option will vest in full on March 31, 2021, subject to the terms and conditions of the Pioneer Power Solution, Inc. 2011 Long-Term Incentive Plan. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Michalec Wojciech C/O PIONEER POWER SOLUTIONS, INC. 400 KELBY STREET,12TH FLOOR FORT LEE, NJ 07024 |
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| Interim CFO |
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Signatures
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/s/ Wojciech Michalec | | 4/20/2020 |
**Signature of Reporting Person | Date |
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