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