0000076605-23-000197.txt : 20231218
0000076605-23-000197.hdr.sgml : 20231218
20231218213911
ACCESSION NUMBER: 0000076605-23-000197
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231215
FILED AS OF DATE: 20231218
DATE AS OF CHANGE: 20231218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cleveland Todd M
CENTRAL INDEX KEY: 0001407402
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03922
FILM NUMBER: 231495477
MAIL ADDRESS:
STREET 1: 107 W. FRANKLIN ST.
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]
ORGANIZATION NAME: 04 Manufacturing
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
wk-form4_1702953541.xml
FORM 4
X0508
4
2023-12-15
0
0000076605
PATRICK INDUSTRIES INC
PATK
0001407402
Cleveland Todd M
107 W. FRANKLIN ST
ELKHART
IN
46515
1
0
0
0
0
Common Stock
2023-12-15
4
G
0
5000
0
D
68690
D
Common Stock
34237
I
Consists of shares held in a limited liability corporation
Represents shares of common stock gifted by the reporting person.
/s/ Todd M. Cleveland by Joel D. Duthie, attorney-in-fact
2023-12-18