0001437749-16-039224.txt : 20160928 0001437749-16-039224.hdr.sgml : 20160928 20160928212015 ACCESSION NUMBER: 0001437749-16-039224 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160926 FILED AS OF DATE: 20160928 DATE AS OF CHANGE: 20160928 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430] 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: 574-206-7515 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rodino Jeff CENTRAL INDEX KEY: 0001491923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 161908193 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN STREET STREET 2: P.O.BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 4 1 rdgdoc.xml FORM 4 X0306 4 2016-09-26 0000076605 PATRICK INDUSTRIES INC PATK 0001491923 Rodino Jeff 107 W. FRANKLIN ST ELKHART IN 46515 1 EVP-Sales, Chief Sales Officer Stock Options 61.43 2016-09-26 4 A 0 4804 0 A 2017-09-26 2025-09-26 Common Stock 4804 4804 D Stock Options 61.43 2016-09-26 4 A 0 4804 0 A 2018-09-26 2025-09-26 Common Stock 4804 9608 D Stock Options 61.43 2016-09-26 4 A 0 4804 0 A 2019-09-26 2025-09-26 Common Stock 4804 14412 D Stock Options 61.43 2016-09-26 4 A 0 4804 0 A 2020-09-26 2025-09-26 Common Stock 4804 19216 D Stock Appreciation Rights 61.43 2016-09-26 4 A 0 1201 0 A 2017-09-26 2025-09-26 Common Stock 1201 1201 D Stock Appreciation Rights 61.43 2016-09-26 4 A 0 1201 0 A 2018-09-26 2025-09-26 Common Stock 1201 2402 D Stock Appreciation Rights 61.43 2016-09-26 4 A 0 1201 0 A 2019-09-26 2025-09-26 Common Stock 1201 3603 D Stock Appreciation Rights 61.43 2016-09-26 4 A 0 1201 0 A 2020-09-26 2025-09-26 Common Stock 1201 4804 D Stock Appreciation Rights 71.26 2016-09-26 4 A 0 1201 0 A 2017-09-26 2025-09-26 Common Stock 1201 1201 D Stock Appreciation Rights 71.26 2016-09-26 4 A 0 1201 0 A 2018-09-26 2025-09-26 Common Stock 1201 2402 D Stock Appreciation Rights 71.26 2016-09-26 4 A 0 1201 0 A 2019-09-26 2025-09-26 Common Stock 1201 3603 D Stock Appreciation Rights 71.26 2016-09-26 4 A 0 1201 0 A 2020-09-26 2025-09-26 Common Stock 1201 4804 D Stock Appreciation Rights 82.66 2016-09-26 4 A 0 1201 0 A 2017-09-26 2025-09-26 Common Stock 1201 1201 D Stock Appreciation Rights 82.66 2016-09-26 4 A 0 1201 0 A 2018-09-26 2025-09-26 Common Stock 1201 2402 D Stock Appreciation Rights 82.66 2016-09-26 4 A 0 1201 0 A 2019-09-26 2025-09-26 Common Stock 1201 3603 D Stock Appreciation Rights 82.66 2016-09-26 4 A 0 1201 0 A 2020-09-26 2025-09-26 Common Stock 1201 4804 D Stock Appreciation Rights 95.89 2016-09-26 4 A 0 1201 0 A 2017-09-26 2025-09-26 Common Stock 1201 1201 D Stock Appreciation Rights 95.89 2016-09-26 4 A 0 1201 0 A 2018-09-26 2025-09-26 Common Stock 1201 2402 D Stock Appreciation Rights 95.89 2016-09-26 4 A 0 1201 0 A 2019-09-26 2025-09-26 Common Stock 1201 3603 D Stock Appreciation Rights 95.89 2016-09-26 4 A 0 1201 0 A 2020-09-26 2025-09-26 Common Stock 1201 4804 D /s/ Jeffrey M. Rodino by Joshua A. Boone, attorney-in-fact 2016-09-28