0000076605-22-000033.txt : 20220131 0000076605-22-000033.hdr.sgml : 20220131 20220131211649 ACCESSION NUMBER: 0000076605-22-000033 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220125 FILED AS OF DATE: 20220131 DATE AS OF CHANGE: 20220131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rodino Jeff CENTRAL INDEX KEY: 0001491923 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 22576537 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/A 1 wf-form4a_164368179289048.xml FORM 4/A X0306 4/A 2022-01-25 2022-01-27 0 0000076605 PATRICK INDUSTRIES INC PATK 0001491923 Rodino Jeff 107 W. FRANKLIN ST ELKHART IN 46515 0 1 0 0 President Common Stock 2022-01-25 4 J 0 6111 0 A 140063 D Reflects an adjustment to the number of shares that the reporting owner is entitled to upon vesting in January 2022 of a performance-based grant originally awarded in January 2019. /s/ Jeffrey M. Rodino by Jacob R. Petkovich, attorney-in-fact 2022-01-31