0000899243-21-022948.txt : 20210610 0000899243-21-022948.hdr.sgml : 20210610 20210610150549 ACCESSION NUMBER: 0000899243-21-022948 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210608 FILED AS OF DATE: 20210610 DATE AS OF CHANGE: 20210610 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dussinger Patrick CENTRAL INDEX KEY: 0001819339 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38632 FILM NUMBER: 211007860 MAIL ADDRESS: STREET 1: 400 GALLERIA PKWY SE STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Select Interior Concepts, Inc. CENTRAL INDEX KEY: 0001723866 STANDARD INDUSTRIAL CLASSIFICATION: GEN BUILDING CONTRACTORS - RESIDENTIAL BUILDINGS [1520] IRS NUMBER: 474640296 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 GALLERIA PARKWAY STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: (888)701-4737 MAIL ADDRESS: STREET 1: 400 GALLERIA PARKWAY STREET 2: SUITE 1760 CITY: ATLANTA STATE: GA ZIP: 30339 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-06-08 0 0001723866 Select Interior Concepts, Inc. SIC 0001819339 Dussinger Patrick 400 GALLERIA PARKWAY, SUITE 1760 ATLANTA GA 30339 0 1 0 0 President-ASG Class A Common Stock 2021-06-08 4 F 0 6849 10.91 D 115651 D The 6,849 shares of Class A Common Stock were withheld by the Company to cover taxes associated with the vesting of 28,125 shares previously awarded on July 27, 2020. /s/ Shawn K. Baldwin, attorney-in-fact 2021-06-10