Peter A. Cohen - 01 Nov 2021 Form 4 Insider Report for Andover National Corp

Role
Chief Executive Officer, Director
Signature
/s/ Peter A. Cohen
Issuer symbol
N/A
Transactions as of
01 Nov 2021
Net transactions value
+$446,589
Form type
4
Filing time
02 Nov 2021, 16:01:19 UTC
Previous filing
05 Oct 2021
Next filing
23 Nov 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction Class A Common Stock Conversion of derivative security $0 +81,198 +22% $0.000000 452,527 01 Nov 2021 By Self as Trustee for The Peter A. Cohen Revocable Trust F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction Class B Common Stock Purchase $446,589 +40,599 +100% $11.00* 81,198 01 Nov 2021 Class A Common Stock 40,599 By Self as Trustee for The Peter A. Cohen Revocable Trust F1, F2, F3
transaction Class B Common Stock Conversion of derivative security $0 -81,198 -100% $0.000000* 0 01 Nov 2021 Class A Common Stock 81,198 By Self as Trustee for The Peter A. Cohen Revocable Trust F2, F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On November 1, 2021, Mr. Cohen purchased 40,599 shares of Class B Common Stock through The Peter A. Cohen Revocable Trust in a privately negotiated sale.
F2 Each share of Class B Common Stock may be converted, at the option of the holder, at any time and from time to time, into one (1) share of Class A Common Stock.
F3 The Class B Common Stock may be converted into shares of Class A Common Stock at any time, at the holder's election, and therefore has no expiration date.
F4 On November 1, 2021, Mr. Cohen elected to convert all of his 81,198 shares of Class B Common Stock into 81,198 shares of Class A Common Stock.