0000076605-20-000167.txt : 20200824 0000076605-20-000167.hdr.sgml : 20200824 20200824204609 ACCESSION NUMBER: 0000076605-20-000167 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200813 FILED AS OF DATE: 20200824 DATE AS OF CHANGE: 20200824 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rose James E CENTRAL INDEX KEY: 0001822138 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 201129227 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN STREET STREET 2: PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] 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 3 1 wf-form3_159831635395131.xml FORM 3 X0206 3 2020-08-13 0 0000076605 PATRICK INDUSTRIES INC PATK 0001822138 Rose James E 107 W. FRANKLIN STREET ELKHART IN 46515 0 0 0 1 Principal Accounting Officer Common Stock Options 41.33 2029-05-14 Common Stock 1000.0 D Represents common stock options granted on May 14, 2020 that vest in increments over a three-year period at a rate of 35%, 35% and 30%, beginning on May 14, 2021. /s/ James E. Rose by John A. Forbes, attorney-in-fact 2020-08-24