Form4insider filings, from the source

SEC Form 4 · accession 0000076605-17-000009

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
Jan 17, 2017
Accepted (ET)
Jan 19, 2017 · 9:05 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000076605

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockF1Jan 17, 2017A4,286$0.00A340,384D
Common StockF2Jan 17, 2017A25,715$0.00A366,099D
Common Stockholding———15,000IHeld by family members living in household

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Stock Options$80.75Jan 17, 2017A34,808AJan 17, 2018Jan 17, 2026Common Stock34,80834,808D
Stock Options$80.75Jan 17, 2017A34,807AJan 17, 2019Jan 17, 2026Common Stock34,80769,615D
Stock Options$80.75Jan 17, 2017A34,808AJan 17, 2020Jan 17, 2026Common Stock34,808104,423D
Stock Options$80.75Jan 17, 2017A34,807AJan 17, 2021Jan 17, 2026Common Stock34,807139,230D
Stock Appreciation Rights$80.75Jan 17, 2017A8,702AJan 17, 2018Jan 17, 2026Common Stock8,7028,702D
Stock Appreciation Rights$80.75Jan 17, 2017A8,702AJan 17, 2019Jan 17, 2026Common Stock8,70217,404D
Stock Appreciation Rights$80.75Jan 17, 2017A8,702AJan 17, 2020Jan 17, 2026Common Stock8,70226,106D
Stock Appreciation Rights$80.75Jan 17, 2017A8,702AJan 17, 2021Jan 17, 2026Common Stock8,70234,808D
Stock Appreciation Rights$90.04Jan 17, 2017A8,702AJan 17, 2018Jan 17, 2026Common Stock8,7028,702D
Stock Appreciation Rights$90.04Jan 17, 2017A8,702AJan 17, 2019Jan 17, 2026Common Stock8,70217,404D
Stock Appreciation Rights$90.04Jan 17, 2017A8,702AJan 17, 2020Jan 17, 2026Common Stock8,70226,106D
Stock Appreciation Rights$90.04Jan 17, 2017A8,702AJan 17, 2021Jan 17, 2026Common Stock8,70234,808D
Stock Appreciation Rights$100.39Jan 17, 2017A8,702AJan 17, 2018Jan 17, 2026Common Stock8,7028,702D
Stock Appreciation Rights$100.39Jan 17, 2017A8,702AJan 17, 2019Jan 17, 2026Common Stock8,70217,404D
Stock Appreciation Rights$100.39Jan 17, 2017A8,702AJan 17, 2020Jan 17, 2026Common Stock8,70226,106D
Stock Appreciation Rights$100.39Jan 17, 2017A8,702AJan 17, 2021Jan 17, 2026Common Stock8,70234,808D
Stock Appreciation Rights$111.94Jan 17, 2017A8,702AJan 17, 2018Jan 17, 2026Common Stock8,7028,702D
Stock Appreciation Rights$111.94Jan 17, 2017A8,702AJan 17, 2019Jan 17, 2026Common Stock8,70217,404D
Stock Appreciation Rights$111.94Jan 17, 2017A8,702AJan 17, 2020Jan 17, 2026Common Stock8,70226,106D
Stock Appreciation Rights$111.94Jan 17, 2017A8,702AJan 17, 2021Jan 17, 2026Common Stock8,70234,808D

Explanation of responses