|4Sep 5, 4:19 PM ET

Schmerin Daniel E. 4

4 · Andover National Corp · Filed Sep 5, 2019

Insider Transaction Report

Form 4
Period: 2019-09-03
Schmerin Daniel E.
DirectorChief Executive Officer10% Owner
Transactions
  • Other

    Class A Common Stock

    2019-09-03584,82010,000 total(indirect: By LLC)
  • Other

    Class B Common Stock

    2019-09-03459,40140,599 total(indirect: By LLC)
Footnotes (2)
  • [F1]Mr. Schmerin forfeited 584,820 shares of Class A Common Stock and 459,401 shares of Class B Common Stock to the Issuer for no consideration.
  • [F2]Mr. Schmerin is the beneficial owner of 10,000 shares of Class A Common Stock and 40,599 shares of Class B Common Stock through Windber National, LLC, which is wholly owned by Mr. Schmerin.

Documents

1 file
  • 4
    ownership.xmlPrimary