0001209191-19-040417.txt : 20190702 0001209191-19-040417.hdr.sgml : 20190702 20190702170813 ACCESSION NUMBER: 0001209191-19-040417 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190701 FILED AS OF DATE: 20190702 DATE AS OF CHANGE: 20190702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHIRLEY ERIC R CENTRAL INDEX KEY: 0001766974 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20572 FILM NUMBER: 19938703 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS ROAD CITY: ST. PAUL STATE: MN ZIP: 55120 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: 0427 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-07-01 0 0000891024 PATTERSON COMPANIES, INC. PDCO 0001766974 SHIRLEY ERIC R 1031 MENDOTA HEIGHTS ROAD ST. PAUL MN 55120 0 1 0 0 President-Patterson Dental Common Stock 2019-07-01 4 A 0 5056 22.25 A 31663 D Employee Stock Options 22.25 2019-07-01 4 A 0 33784 22.25 A 2029-07-01 Common Stock 33784 33784 D Represents restricted stock units ("RSUs") awarded on 7/1/2019 to Reporting Person pursuant to the Amended and Restated 2015 Omnibus Incentive Plan ("Plan"). The RSUs awarded vest, assuming continued employment, 100% on 7/1/2022. Includes 26,607 RSUs granted to Reporting Person on 2/4/2019 as an inducement award granted pursuant to the Plan. The RSUs will vest, assuming continued employment, 100% on 2/4/2022. Stock options granted pursuant to the Plan on 7/1/2019. Options are exercisable as follows: 33% on 7/1/2020, 33% on 7/1/2021 and 34% on 7/1/2022. Les B. Korsh, by Power of Attorney 2019-07-02