Form4insider filings, from the source

SEC Form 4 · accession 0000076605-17-000013

PATRICK INDUSTRIES INC · PATK

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

Reporting owner
Kip B Ellis
Officer — EVP Operations & COO
Period of report
Jan 17, 2017
Accepted (ET)
Jan 19, 2017 · 9:10 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, 2017A1,000$0.00A3,000D
Common StockF2Jan 17, 2017A6,000$0.00A9,000D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Stock Options$80.75Jan 17, 2017A2,485AJan 17, 2018Jan 17, 2026Common Stock2,4852,485D
Stock Options$80.75Jan 17, 2017A2,485AJan 17, 2019Jan 17, 2026Common Stock2,4854,970D
Stock Options$80.75Jan 17, 2017A2,485AJan 17, 2020Jan 17, 2026Common Stock2,4857,455D
Stock Options$80.75Jan 17, 2017A2,485AJan 17, 2021Jan 17, 2026Common Stock2,4859,940D
Stock Appreciation Rights$80.75Jan 17, 2017A621AJan 17, 2018Jan 17, 2026Common Stock621621D
Stock Appreciation Rights$80.75Jan 17, 2017A621AJan 17, 2019Jan 17, 2026Common Stock6211,242D
Stock Appreciation Rights$80.75Jan 17, 2017A621AJan 17, 2020Jan 17, 2026Common Stock6211,863D
Stock Appreciation Rights$80.75Jan 17, 2017A622AJan 17, 2021Jan 17, 2026Common Stock6222,485D
Stock Appreciation Rights$90.04Jan 17, 2017A621AJan 17, 2018Jan 17, 2026Common Stock621621D
Stock Appreciation Rights$90.04Jan 17, 2017A621AJan 17, 2019Jan 17, 2026Common Stock6211,242D
Stock Appreciation Rights$90.04Jan 17, 2017A621AJan 17, 2020Jan 17, 2026Common Stock6211,863D
Stock Appreciation Rights$90.04Jan 17, 2017A622AJan 17, 2021Jan 17, 2026Common Stock6222,485D
Stock Appreciation Rights$100.39Jan 17, 2017A621AJan 17, 2018Jan 17, 2026Common Stock621621D
Stock Appreciation Rights$100.39Jan 17, 2017A621AJan 17, 2019Jan 17, 2026Common Stock6211,242D
Stock Appreciation Rights$100.39Jan 17, 2017A621AJan 17, 2020Jan 17, 2026Common Stock6211,863D
Stock Appreciation Rights$100.39Jan 17, 2017A622AJan 17, 2021Jan 17, 2026Common Stock6222,485D
Stock Appreciation Rights$111.94Jan 17, 2017A621AJan 17, 2018Jan 17, 2026Common Stock621621D
Stock Appreciation Rights$111.94Jan 17, 2017A621AJan 17, 2019Jan 17, 2026Common Stock6211,242D
Stock Appreciation Rights$111.94Jan 17, 2017A621AJan 17, 2020Jan 17, 2026Common Stock6211,863D
Stock Appreciation Rights$111.94Jan 17, 2017A622AJan 17, 2021Jan 17, 2026Common Stock6222,485D

Explanation of responses