Form4insider filings, from the source

SEC Form 4 · accession 0000076605-17-000012

PATRICK INDUSTRIES INC · PATK

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

Reporting owner
Courtney Blosser
Officer — Chief Human Resource Officer
Period of report
Jan 17, 2017
Accepted (ET)
Jan 19, 2017 · 9:09 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, 2017A500$0.00A23,576D
Common StockF2Jan 17, 2017A3,000$0.00A26,576D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Stock Options$80.75Jan 17, 2017A1,658AJan 17, 2018Jan 17, 2026Common Stock1,6581,658D
Stock Options$80.75Jan 17, 2017A1,657AJan 17, 2019Jan 17, 2026Common Stock1,6573,315D
Stock Options$80.75Jan 17, 2017A1,658AJan 17, 2020Jan 17, 2026Common Stock1,6584,973D
Stock Options$80.75Jan 17, 2017A1,657AJan 17, 2021Jan 17, 2026Common Stock1,6576,630D
Stock Appreciation Rights$80.75Jan 17, 2017A414AJan 17, 2018Jan 17, 2026Common Stock414414D
Stock Appreciation Rights$80.75Jan 17, 2017A415AJan 17, 2019Jan 17, 2026Common Stock415829D
Stock Appreciation Rights$80.75Jan 17, 2017A414AJan 17, 2020Jan 17, 2026Common Stock4141,243D
Stock Options$80.75Jan 17, 2017A415AJan 17, 2021Jan 17, 2026Common Stock4151,658D
Stock Appreciation Rights$90.04Jan 17, 2017A414AJan 17, 2018Jan 17, 2026Common Stock414414D
Stock Appreciation Rights$90.04Jan 17, 2017A415AJan 17, 2019Jan 17, 2026Common Stock415829D
Stock Appreciation Rights$90.04Jan 17, 2017A414AJan 17, 2020Jan 17, 2026Common Stock4141,243D
Stock Appreciation Rights$90.04Jan 17, 2017A415AJan 17, 2021Jan 17, 2026Common Stock4151,658D
Stock Appreciation Rights$100.39Jan 17, 2017A414AJan 17, 2018Jan 17, 2026Common Stock414414D
Stock Appreciation Rights$100.39Jan 17, 2017A415AJan 17, 2019Jan 17, 2026Common Stock415829D
Stock Appreciation Rights$100.39Jan 17, 2017A414AJan 17, 2020Jan 17, 2026Common Stock4141,243D
Stock Appreciation Rights$100.39Jan 17, 2017A415AJan 17, 2021Jan 17, 2026Common Stock4151,658D
Stock Appreciation Rights$111.94Jan 17, 2017A414AJan 17, 2018Jan 17, 2026Common Stock414414D
Stock Appreciation Rights$111.94Jan 17, 2017A415AJan 17, 2019Jan 17, 2026Common Stock415829D
Stock Appreciation Rights$111.94Jan 17, 2017A414AJan 17, 2020Jan 17, 2026Common Stock4141,243D
Stock Appreciation Rights$111.94Jan 17, 2017A415AJan 17, 2021Jan 17, 2026Common Stock4151,658D

Explanation of responses