Form4insider filings, from the source

SEC Form 4 · accession 0000076605-17-000011

PATRICK INDUSTRIES INC · PATK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner
Jeff Rodino
Officer — EVP-Sales, Chief Sales Officer
Period of report
Jan 17, 2017
Accepted (ET)
Jan 19, 2017 · 9:08 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, 2017A1,429$0.00A63,076D
Common StockF2Jan 17, 2017A8,571$0.00A71,647D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Stock Options$80.75Jan 17, 2017A5,138AJan 17, 2018Jan 17, 2026Common Stock5,1385,138D
Stock Options$80.75Jan 17, 2017A5,137AJan 17, 2019Jan 17, 2026Common Stock5,13710,275D
Stock Options$80.75Jan 17, 2017A5,138AJan 17, 2020Jan 17, 2026Common Stock5,13815,413D
Stock Options$80.75Jan 17, 2017A5,137AJan 17, 2021Jan 17, 2026Common Stock5,13720,550D
Stock Appreciation Rights$80.75Jan 17, 2017A1,284AJan 17, 2018Jan 17, 2026Common Stock1,2841,284D
Stock Appreciation Rights$80.75Jan 17, 2017A1,285AJan 17, 2019Jan 17, 2026Common Stock1,2852,569D
Stock Appreciation Rights$80.75Jan 17, 2017A1,284AJan 17, 2020Jan 17, 2026Common Stock1,2843,853D
Stock Appreciation Rights$80.75Jan 17, 2017A1,285AJan 17, 2021Jan 17, 2026Common Stock1,2855,138D
Stock Appreciation Rights$90.04Jan 17, 2017A1,284AJan 17, 2018Jan 17, 2026Common Stock1,2841,284D
Stock Appreciation Rights$90.04Jan 17, 2017A1,285AJan 17, 2019Jan 17, 2026Common Stock1,2852,569D
Stock Appreciation Rights$90.04Jan 17, 2017A1,284AJan 17, 2020Jan 17, 2026Common Stock1,2843,853D
Stock Appreciation Rights$90.04Jan 17, 2017A1,285AJan 17, 2021Jan 17, 2026Common Stock1,2855,138D
Stock Appreciation Rights$100.39Jan 17, 2017A1,284AJan 17, 2018Jan 17, 2026Common Stock1,2841,284D
Stock Appreciation Rights$100.39Jan 17, 2017A1,285AJan 17, 2019Jan 17, 2026Common Stock1,2852,569D
Stock Appreciation Rights$100.39Jan 17, 2017A1,284AJan 17, 2020Jan 17, 2026Common Stock1,2843,853D
Stock Appreciation Rights$100.39Jan 17, 2017A1,285AJan 17, 2021Jan 17, 2026Common Stock1,2855,138D
Stock Appreciation Rights$111.94Jan 17, 2017A1,284AJan 17, 2018Jan 17, 2026Common Stock1,2841,284D
Stock Appreciation Rights$111.94Jan 17, 2017A1,285AJan 17, 2019Jan 17, 2026Common Stock1,2852,569D
Stock Appreciation Rights$111.94Jan 17, 2017A1,285AJan 17, 2020Jan 17, 2026Common Stock1,2843,853D
Stock Appreciation Rights$111.94Jan 17, 2017A1,285AJan 17, 2021Jan 17, 2026Common Stock1,2855,138D

Explanation of responses