Form4insider filings, from the source

SEC Form 4 · accession 0000076605-17-000014

PATRICK INDUSTRIES INC · PATK

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

Reporting owner
Joshua A Boone
Officer — VP - Finance & CFO
Period of report
Jan 17, 2017
Accepted (ET)
Jan 19, 2017 · 9:11 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, 2017A572$0.00A4,766D
Common StockF2Jan 17, 2017A3,429$0.00A8,195D

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Stock Options$80.75Jan 17, 2017A2,653AJan 17, 2018Jan 17, 2026Common Stock2,6532,653D
Stock Options$80.75Jan 17, 2017A2,652AJan 17, 2019Jan 17, 2026Common Stock2,6525,305D
Stock Options$80.75Jan 17, 2017A2,653AJan 17, 2020Jan 17, 2026Common Stock2,6537,958D
Stock Options$80.75Jan 17, 2017A2,652AJan 17, 2021Jan 17, 2026Common Stock2,65210,610D
Stock Appreciation Rights$80.75Jan 17, 2017A663AJan 17, 2018Jan 17, 2026Common Stock663663D
Stock Appreciation Rights$80.75Jan 17, 2017A663AJan 17, 2019Jan 17, 2026Common Stock6631,326D
Stock Appreciation Rights$80.75Jan 17, 2017A663AJan 17, 2020Jan 17, 2026Common Stock6631,989D
Stock Appreciation Rights$80.75Jan 17, 2017A664AJan 17, 2021Jan 17, 2026Common Stock6642,653D
Stock Appreciation Rights$90.04Jan 17, 2017A663AJan 17, 2018Jan 17, 2026Common Stock663663D
Stock Appreciation Rights$90.04Jan 17, 2017A663AJan 17, 2019Jan 17, 2026Common Stock6631,326D
Stock Appreciation Rights$90.04Jan 17, 2017A663AJan 17, 2020Jan 17, 2026Common Stock6631,989D
Stock Appreciation Rights$90.04Jan 17, 2017A664AJan 17, 2021Jan 17, 2026Common Stock6642,653D
Stock Appreciation Rights$100.39Jan 17, 2017A663AJan 17, 2018Jan 17, 2026Common Stock663663D
Stock Appreciation Rights$100.39Jan 17, 2017A663AJan 17, 2019Jan 17, 2026Common Stock6631,326D
Stock Appreciation Rights$100.39Jan 17, 2017A663AJan 17, 2020Jan 17, 2026Common Stock6631,989D
Stock Appreciation Rights$100.39Jan 17, 2017A664AJan 17, 2021Jan 17, 2026Common Stock6642,653D
Stock Appreciation Rights$111.94Jan 17, 2017A663AJan 17, 2018Jan 17, 2026Common Stock663663D
Stock Appreciation Rights$111.94Jan 17, 2017A663AJan 17, 2019Jan 17, 2026Common Stock6631,326D
Stock Appreciation Rights$111.94Jan 17, 2017A663AJan 17, 2020Jan 17, 2026Common Stock6631,989D
Stock Appreciation Rights$111.94Jan 17, 2017A664AJan 17, 2021Jan 17, 2026Common Stock6642,653D

Explanation of responses