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