0000076605-24-000034.txt : 20240130
0000076605-24-000034.hdr.sgml : 20240130
20240130213952
ACCESSION NUMBER: 0000076605-24-000034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240126
FILED AS OF DATE: 20240130
DATE AS OF CHANGE: 20240130
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: 24580435
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_1706668781.xml
FORM 4
X0508
4
2024-01-26
0
0000076605
PATRICK INDUSTRIES INC
PATK
0001407402
Cleveland Todd M
107 W. FRANKLIN ST
ELKHART
IN
46515
1
0
0
0
0
Common Stock
2024-01-26
4
J
0
8571
0
A
77261
D
Common Stock
2024-01-26
4
F
0
13046
94.77
D
64215
D
Common Stock
34237
I
Consists of shares held in a limited liability corporation
Represents an adjustment to the number of shares that the reporting owner is entitled to upon vesting in January 2024 of a performance-based grant originally awarded in January 2021.
Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a performance-based stock grant awarded in January 2021 that vested after three years upon the achievement of target Company objectives.
/s/ Todd M. Cleveland by Joel D. Duthie, attorney-in-fact
2024-01-30