0000076605-20-000197.txt : 20201127
0000076605-20-000197.hdr.sgml : 20201127
20201127203631
ACCESSION NUMBER: 0000076605-20-000197
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201124
FILED AS OF DATE: 20201127
DATE AS OF CHANGE: 20201127
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Petkovich Jacob R
CENTRAL INDEX KEY: 0001834052
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03922
FILM NUMBER: 201356116
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_160652737305550.xml
FORM 3
X0206
3
2020-11-24
1
0000076605
PATRICK INDUSTRIES INC
PATK
0001834052
Petkovich Jacob R
107 W. FRANKLIN STREET
ELKHART
IN
46515
0
1
0
0
EVP Finance, CFO & Treasurer
Jacob R. Petkovich
2020-11-27