0000076605-22-000073.txt : 20220512 0000076605-22-000073.hdr.sgml : 20220512 20220512171640 ACCESSION NUMBER: 0000076605-22-000073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220512 FILED AS OF DATE: 20220512 DATE AS OF CHANGE: 20220512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cerulli Joseph M CENTRAL INDEX KEY: 0001443241 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 22918988 MAIL ADDRESS: STREET 1: 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_165239017501385.xml FORM 4 X0306 4 2022-05-12 0 0000076605 PATRICK INDUSTRIES INC PATK 0001443241 Cerulli Joseph M 107 W. FRANKLIN ST ELKHART IN 46515 1 0 0 0 Common Stock 2022-05-12 4 A 0 1917 0 A 46696 D Annual Director's Stock Grant awarded on May 12, 2022 and vesting on May 12, 2023. /s/ Joseph M. Cerulli by Jacob R. Petkovich, attorney-in-fact 2022-05-12