0000076605-17-000158.txt : 20171208 0000076605-17-000158.hdr.sgml : 20171208 20171208211920 ACCESSION NUMBER: 0000076605-17-000158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171208 FILED AS OF DATE: 20171208 DATE AS OF CHANGE: 20171208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rodino Jeff CENTRAL INDEX KEY: 0001491923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 171248246 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN STREET STREET 2: P.O.BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430] IRS NUMBER: 351057796 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 574-206-7515 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 4 1 wf-form4_151278594610602.xml FORM 4 X0306 4 2017-12-08 0 0000076605 PATRICK INDUSTRIES INC PATK 0001491923 Rodino Jeff 107 W. FRANKLIN ST ELKHART IN 46515 0 1 0 0 EVP-Sales, Chief Sales Officer Common Stock 2017-12-08 4 S 0 11500 99 D 63815 D /s/ Jeffrey M. Rodino by Joshua A. Boone, attorney-in-fact 2017-12-08