SEC Form 4 · accession 0000076605-17-000166
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
Dec 12, 2017
Accepted (ET)
Dec 14, 2017 · 9:13 pm EST
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 StockF1,F2 | Dec 12, 2017 | G | 15,000 | $0.00 | D | 527,206 | D | |
| Common StockF2 | holding | — | — | — | 22,500 | I | Held by family members living in household |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of common stock gifted by the reporting person.
- F2The Common Stock holding reported herein has been adjusted to reflect a three-for-two stock split paid by the issuer on December 8, 2017.