0000076605-21-000137.txt : 20210527 0000076605-21-000137.hdr.sgml : 20210527 20210527203936 ACCESSION NUMBER: 0000076605-21-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210526 FILED AS OF DATE: 20210527 DATE AS OF CHANGE: 20210527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klyn Pamela R CENTRAL INDEX KEY: 0001771748 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 21975416 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: 574-294-7511 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 4 1 wf-form4_162216235186567.xml FORM 4 X0306 4 2021-05-26 0 0000076605 PATRICK INDUSTRIES INC PATK 0001771748 Klyn Pamela R 107 W. FRANKLIN STREET ELKHART IN 46515 1 0 0 0 Common Stock 2021-05-26 4 P 0 1000 86.81 A 7381 D /s/ Pamela R. Klyn by Jacob R. Petkovich, attorney-in-fact 2021-05-27