0000076605-18-000039.txt : 20180223 0000076605-18-000039.hdr.sgml : 20180223 20180223214306 ACCESSION NUMBER: 0000076605-18-000039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180221 FILED AS OF DATE: 20180223 DATE AS OF CHANGE: 20180223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WELCH M SCOTT CENTRAL INDEX KEY: 0001189422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 18638430 MAIL ADDRESS: STREET 1: 6 LONGWOOD COURT CITY: ELKHART STATE: IN ZIP: 46516 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_151944016968872.xml FORM 4 X0306 4 2018-02-21 0 0000076605 PATRICK INDUSTRIES INC PATK 0001189422 WELCH M SCOTT 107 W. FRANKLIN ST ELKHART IN 46515 1 0 0 0 Common Stock 2018-02-21 4 A 0 0 0 A 59862 D Common Stock 2018-02-21 4 P 0 1232 62.50 A 1295 I See footnote 2 Common Stock 2018-02-22 4 P 0 40 61.50 A 1335 I See footnote 2 The Common Stock holding reported herein has been adjusted to reflect a three-for-two stock split paid by the issuer on December 8, 2017. Reflects portion of the shares purchased through an entity that is controlled by the reporting person in which the reporting person has a pecuniary interest. The reporting person disclaims beneficial ownership of other shares purchased by the entity. /s/ M. Scott Welch by Joshua A. Boone, attorney-in-fact 2018-02-23