0000076605-21-000033.txt : 20210128
0000076605-21-000033.hdr.sgml : 20210128
20210128214609
ACCESSION NUMBER: 0000076605-21-000033
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210126
FILED AS OF DATE: 20210128
DATE AS OF CHANGE: 20210128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rodino Jeff
CENTRAL INDEX KEY: 0001491923
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03922
FILM NUMBER: 21567763
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: 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: 574-294-7511
MAIL ADDRESS:
STREET 1: 107 WEST FRANKLIN STREET PO BOX 638
CITY: ELKHART
STATE: IN
ZIP: 46515
4
1
wf-form4_161188835388372.xml
FORM 4
X0306
4
2021-01-26
0
0000076605
PATRICK INDUSTRIES INC
PATK
0001491923
Rodino Jeff
107 W. FRANKLIN ST
ELKHART
IN
46515
0
1
0
0
EVP Sales & CSO
Common Stock
2021-01-26
4
F
0
709
69.97
D
117467
D
Common Stock
2021-01-26
4
F
0
2166
69.61
D
115301
D
Common Stock
2021-01-26
4
J
0
3167
0
D
112134
D
Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a time-based stock grant awarded in January 2018 that became fully vested in January 2021.
Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a performance-based stock grant awarded in January 2018 that vested after three years upon the achievement of target Company objectives.
Represents an adjustment to the number of shares that the reporting owner is entitled to upon vesting in January 2021 of a performance-based grant originally awarded in January 2018.
/s/ Jeffrey M. Rodino by Jacob R. Petkovich, attorney-in-fact
2021-01-28