0001140361-11-030163.txt : 20110527 0001140361-11-030163.hdr.sgml : 20110527 20110527091507 ACCESSION NUMBER: 0001140361-11-030163 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110526 FILED AS OF DATE: 20110527 DATE AS OF CHANGE: 20110527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RENBARGER LARRY D CENTRAL INDEX KEY: 0001209926 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 11876165 MAIL ADDRESS: STREET 1: C/O PATRICK INDUSTRIES, INC., STREET 2: P.O. BOX 638 CITY: ELKHART STATE: IN ZIP: 46515-0638 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430] IRS NUMBER: 351057796 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 574-206-7515 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 4 1 doc1.xml FORM 4 X0303 4 2011-05-26 0 0000076605 PATRICK INDUSTRIES INC PATK 0001209926 RENBARGER LARRY D 107 W. FRANKLIN ST ELKHART IN 46515 1 0 0 0 Common Stock 2011-05-26 4 A 0 3500 0 A 43000 D Annual Director's Stock Grant awarded on May 26, 2011. Larry D. Renbarger by Andy L. Nemeth, Agent 2011-05-27