0000076605-24-000057.txt : 20240214 0000076605-24-000057.hdr.sgml : 20240214 20240214215134 ACCESSION NUMBER: 0000076605-24-000057 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240212 FILED AS OF DATE: 20240214 DATE AS OF CHANGE: 20240214 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: 24641853 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_1707965470.xml FORM 4 X0508 4 2024-02-12 0 0000076605 PATRICK INDUSTRIES INC PATK 0001407402 Cleveland Todd M 107 W. FRANKLIN ST ELKHART IN 46515 1 0 0 0 0 Common Stock 2024-02-12 4 M 0 52212 53.83 A 116427 D Common Stock 2024-02-12 4 M 0 52212 60.03 A 168639 D Common Stock 2024-02-12 4 M 0 52212 66.93 A 220851 D Common Stock 2024-02-12 4 M 0 52212 74.63 A 273063 D Common Stock 2024-02-12 4 D 0 118542 112.50 D 154521 D Common Stock 2024-02-12 4 F 0 38293 112.50 D 116228 D Common Stock 34237 I Consists of shares held in a limited liability corporation Stock Appreciation Rights 53.83 2024-02-12 4 M 0 52212 0 D 2021-01-17 2026-01-17 Common Stock 52212 0 D Stock Appreciation Rights 60.03 2024-02-12 4 M 0 52212 0 D 2021-01-17 2026-01-17 Common Stock 52212 0 D Stock Appreciation Rights 66.93 2024-02-12 4 M 0 52212 0 D 2021-01-17 2026-01-17 Common Stock 52212 0 D Stock Appreciation Rights 74.63 2024-02-12 4 M 0 52212 0 D 2021-01-17 2026-01-17 Common Stock 52212 0 D Reflects exercise of the stock appreciation rights reported on Table II of this Form 4. Reflects the date the stock appreciation rights became fully exercisable. /s/ Todd M. Cleveland by Joel D. Duthie, attorney-in-fact 2024-02-14