SEC Form 4 · accession 0000076605-19-000006
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
Jan 25, 2019
Accepted (ET)
Jan 29, 2019 · 9:21 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 | Jan 25, 2019 | F | 1,921 | $35.21 | D | 34,901 | D | |
| Common StockF2 | Jan 25, 2019 | A | 10,833 | $0.00 | A | 45,734 | D | |
| Common StockF3 | Jan 25, 2019 | A | 1,806 | $0.00 | A | 47,540 | D | |
| Common StockF4 | Jan 25, 2019 | A | 8,250 | $0.00 | A | 55,790 | D | |
| Common StockF1 | Jan 25, 2019 | F | 2,289 | $39.39 | D | 53,501 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a performance-based stock grant awarded in February 2016 that vested upon the achievement of target Company objectives.
- F2Shares are performance-based and vest after three years upon achievement of target Company objectives.
- F3Annual management grant awarded January 25, 2019 and vesting on January 25, 2022.
- F4Represents restricted stock units granted in February 2016 that did not possess voting rights at the time of grant until earned based on the achievement of a cumulative financial performance target over a three-year period and vest at the conclusion of the measurement period. In January 2019, the cumulative financial performance target was achieved at the maximum performance level.