SEC Form 4 · accession 0000076605-16-000020
PATRICK INDUSTRIES INC · PATK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Todd M Cleveland
Officer — CEO · Director
Period of report
Dec 21, 2016
Accepted (ET)
Dec 23, 2016 · 8:59 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000076605
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 21, 2016 | G | 5,000 | $0.00 | D | 346,098 | D | |
| Common Stock | holding | — | — | — | 15,000 | I | Held by family members living in household |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of common stock gifted by the reporting person.