0000076605-20-000116.txt : 20200602 0000076605-20-000116.hdr.sgml : 20200602 20200602213622 ACCESSION NUMBER: 0000076605-20-000116 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200318 FILED AS OF DATE: 20200602 DATE AS OF CHANGE: 20200602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Blosser Courtney CENTRAL INDEX KEY: 0001491924 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 20938784 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_159114816038025.xml FORM 4 X0306 4 2020-03-18 0 0000076605 PATRICK INDUSTRIES INC PATK 0001491924 Blosser Courtney 107 W. FRANKLIN ST ELKHART IN 46515 0 1 0 0 EVP Human Resources & CHRO Common Stock 2020-03-18 4 G 0 150 0 D 54890 D Represents shares of common stock gifted by the reporting person. /s/ Courtney A. Blosser by Joshua A. Boone, Attorney-in-fact 2020-06-02