0000076605-21-000112.txt : 20210507
0000076605-21-000112.hdr.sgml : 20210507
20210507205226
ACCESSION NUMBER: 0000076605-21-000112
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210506
FILED AS OF DATE: 20210507
DATE AS OF CHANGE: 20210507
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: 21904907
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_162043512725562.xml
FORM 4
X0306
4
2021-05-06
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
2021-05-06
4
M
0
7707
53.83
A
126571
D
Common Stock
2021-05-06
4
M
0
7707
60.03
A
134278
D
Common Stock
2021-05-06
4
D
0
9121
96.21
D
125157
D
Common Stock
2021-05-06
4
F
0
2679
96.21
D
122478
D
Stock Appreciation Rights
53.83
2021-05-06
4
M
0
7707
0
D
2021-01-17
2026-01-17
Common Stock
7707.0
0
D
Stock Appreciation Rights
60.03
2021-05-06
4
M
0
7707
0
D
2021-01-17
2026-01-17
Common Stock
7707.0
0
D
Reflects exercise of the stock appreciation rights reported on Table II of this Form 4.
Reflects the date the stock appreciation rights became fully exercisable.
/s/ Jeffrey M. Rodino by Jacob R. Petkovich, attorney-in-fact
2021-05-07