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