Mark N. Tompkins - 31 Jul 2023 Form 4 Insider Report for Patricia Acquisition Corp. (SERV)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
02 Aug 2023, 21:59:24 UTC
Prior SEC filing
13 Jan 2023
Next SEC filing
05 Nov 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Mark N. Tompkins

Key filing fact

Mark N. Tompkins filed Form 4 for Patricia Acquisition Corp. (SERV) on 02 Aug 2023.

Key facts

  • This page summarizes Mark N. Tompkins's Form 4 filing for Patricia Acquisition Corp. (SERV).
  • 3 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 02 Aug 2023, 21:59.

Change

  • Previous filing in this sequence was filed on 13 Jan 2023.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

SERV transaction

Common Stock

Conversion of derivative security

Transaction value
Shares
+312,500
Change %
+6.6%
Price
Shares after
5,062,500
Date
31 Jul 2023
Ownership
Direct
Footnotes
F1
SERV transaction

Common Stock

Other

Transaction value
$0
Shares
-3,375,000
Change %
-67%
Price
$0.000000
Shares after
1,687,500
Date
31 Jul 2023
Ownership
Direct
Footnotes
F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

SERV transaction Derivative

Warrants (Right to Buy)

Award

Transaction value
Shares
+156,250
Change %
Price
Shares after
156,250
Date
31 Jul 2023
Ownership
Direct
Underlying class
Common stock
Underlying amount
156,250
Exercise price
$3.20
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Mark N. Tompkins is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

Upon closing of the reverse triangular merger of the Issuer's subsidiary (the "Merger") with Serve Robotics Inc. ("Legacy Serve"), $1,000,000 principal amount of Legacy Serve's 10% Senior Subordinated Secured Convertible Notes, purchased by the reporting person under a Securities Purchase Agreement, dated April 21, 2023 (the "Bridge SPA"), with Legacy Serve, converted by their terms into shares of common stock of the Issuer at a conversion price of $3.20 per share.

Footnote F2

As a condition under the terms of an Agreement and Plan of Merger and Reorganization, dated as of July 31, 2023, and pursuant to the terms of a stock cancellation agreement, the reporting person voluntarily surrendered and cancelled for no consideration 3,375,000 shares of Issuer's common stock prior to the consummation of the Merger. The reporting person resigned as a director of the Issuer upon consummation of the Merger.

Footnote F3

Immediately exercisable. Received upon closing of the Merger in accordance with the terms of the Bridge SPA. Pursuant to the terms of the Bridge SPA, each holder of a Legacy Serve 10% Senior Subordinated Secured Convertible Note was entitled to receive warrants to purchase 50% of the number of shares of common stock into which the 10% Senior Subordinated Secured Convertible Note converted.

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