SEC Form 5 · accession 0000076605-19-000002
PATRICK INDUSTRIES INC · PATK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Courtney Blosser
Officer — Chief Human Resources Officer
Period of report
Dec 31, 2018
Accepted (ET)
Jan 11, 2019 · 6:20 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 | Dec 21, 2018 | G | 150 | $0.00 | D | 36,822 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of common stock gifted by the reporting person.