SEC Form 4 · accession 0000914760-15-000264

PATRICK INDUSTRIES INC · PATK

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

Reporting owner

Officer — President & CEO · Director

Period of report

Sep 14, 2015

Accepted (ET)

Sep 16, 2015 · 9:15 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
Common Stock	Sep 14, 2015	M	25,001	$18.45	A	457,193	D
Common Stock	Sep 14, 2015	M	25,001	$22.13	A	482,194	D
Common Stock	Sep 14, 2015	M	25,001	$26.56	A	507,195	D
Common Stock	Sep 14, 2015	M	25,001	$31.87	A	532,196	D
Common Stock	Sep 14, 2015	D	52,366	$47.27	D	479,830	D
Common Stock	Sep 14, 2015	F	21,601	$47.27	D	458,229	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Appreciation Rights^F2,F3	$18.45	Sep 14, 2015	M	25,001	D	—	Dec 18, 2022	Common Stock	25,001	49,999	D
Stock Appreciation Rights^F2,F3	$22.13	Sep 14, 2015	M	25,001	D	—	Dec 18, 2022	Common Stock	25,001	49,999	D
Stock Appreciation Rights^F2,F3	$26.56	Sep 14, 2015	M	25,001	D	—	Dec 18, 2022	Common Stock	25,001	49,999	D
Stock Appreciation Rights^F2,F3	$31.87	Sep 14, 2015	M	25,001	D	—	Dec 18, 2022	Common Stock	25,001	49,999	D

F1Reflects exercise of the stock appreciation rights reported on Table II of this Form 4.
F2Reflects a stock appreciation right that was granted on December 18, 2013. Amounts set forth in this Form 4 have been adjusted to reflect Patrick Industries, Inc.'s stock dividend of one share of common stock for every two shares held of outstanding common stock paid on May 29, 2015.
F3The shares exercised on September 14, 2015 became exercisable on December 18, 2014. 24,999 additional shares become exercisable on December 18, 2015 and 25,000 additional shares will become exercisable on December 18, 2016.