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