SEC Form 4 · accession 0000076605-17-000079
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
May 31, 2017
Accepted (ET)
Jun 2, 2017 · 8:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000076605
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 31, 2017 | M | 50,000 | $18.45 | A | 392,227 | D | |
| Common Stock | holding | — | — | — | 15,000 | I | Held by family members living in household |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock OptionsF1 | $18.45 | May 31, 2017 | M | 50,000 | D | — | Dec 18, 2022 | Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1The 300,000 total common stock options originally granted on December 18, 2013 at an exercise price of $18.45 per share are 100% vested, of which a total of 250,000 common stock options have been exercised.