0001209191-15-069755.txt : 20150908
0001209191-15-069755.hdr.sgml : 20150907
20150908143232
ACCESSION NUMBER: 0001209191-15-069755
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150904
FILED AS OF DATE: 20150908
DATE AS OF CHANGE: 20150908
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PATTERSON COMPANIES, INC.
CENTRAL INDEX KEY: 0000891024
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047]
IRS NUMBER: 410886515
STATE OF INCORPORATION: MN
FISCAL YEAR END: 0426
BUSINESS ADDRESS:
STREET 1: 1031 MENDOTA HEIGHTS RD
CITY: ST PAUL
STATE: MN
ZIP: 55120-1401
BUSINESS PHONE: 6516861600
MAIL ADDRESS:
STREET 1: 1031 MENDOTA HEIGHTS RD
CITY: ST PAUL
STATE: MN
ZIP: 55120-1401
FORMER COMPANY:
FORMER CONFORMED NAME: PATTERSON DENTAL CO
DATE OF NAME CHANGE: 19950111
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SLAVKIN HAROLD C
CENTRAL INDEX KEY: 0001243899
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20572
FILM NUMBER: 151096316
MAIL ADDRESS:
STREET 1: USC
STREET 2: 925 W 34TH ST
CITY: LOS ANGELES
STATE: CA
ZIP: 90089-0641
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-09-04
0
0000891024
PATTERSON COMPANIES, INC.
PDCO
0001243899
SLAVKIN HAROLD C
13650 MARINA POINTE DRIVE #1102
MARINA DEL REY
CA
90292-9291
1
0
0
0
Common Stock
2015-09-04
4
M
0
12000
40.935
A
23115
D
Common Stock
2015-09-04
4
S
0
12000
44.607
D
11115
D
Common Stock
350
I
Spouse's Account
Director Stock Options
40.935
2015-09-04
4
M
0
12000
40.935
D
2006-09-12
2015-09-12
Common Stock
12000
0
D
NOTE: Reporting Person previously had 384 Options ($50.75/share) granted on 5/2/2005 with a 10-year term. As of 5/2/2015 the Options were not exercised and therefore have been forfeited.
Les B. Korsh, by Power of Attorney
2015-09-08
EX-24.4_604382
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
Know all by these presents, that the undersigned's hereby makes, constitutes
and appoints Les B. Korsh as the undersigned's true and lawful attorney-in-fact,
with full power and authority as hereinafter described on behalf of and in the
name, place and stead of the undersigned to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director and/or 10% beneficial owner of Patterson
Companies, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934, as amended, and the rules
thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5
and timely file such form with the United States Securities and Exchange
Commission and any stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned acknowledges that the foregoing attorney-in-fact, in serving in
such capacity at the request of the undersigned, is not assuming, nor is the
Company assuming, any of the undersigned's responsibilities to comply with
Section 16 of the Securities Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed this 17th day of March, 2015.
/s/ Harold C. Slavkin