0000076605-21-000052.txt : 20210219
0000076605-21-000052.hdr.sgml : 20210219
20210219212120
ACCESSION NUMBER: 0000076605-21-000052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 3
CONFORMED PERIOD OF REPORT: 20210218
FILED AS OF DATE: 20210219
DATE AS OF CHANGE: 20210219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WELCH M SCOTT
CENTRAL INDEX KEY: 0001189422
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03922
FILM NUMBER: 21658068
MAIL ADDRESS:
STREET 1: 6 LONGWOOD COURT
CITY: ELKHART
STATE: IN
ZIP: 46516
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC
CENTRAL INDEX KEY: 0000076605
STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714]
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: 574-294-7511
MAIL ADDRESS:
STREET 1: 107 WEST FRANKLIN STREET PO BOX 638
CITY: ELKHART
STATE: IN
ZIP: 46515
4
1
wf-form4_161378765884191.xml
FORM 4
X0306
4
2021-02-18
0
0000076605
PATRICK INDUSTRIES INC
PATK
0001189422
WELCH M SCOTT
107 W. FRANKLIN ST
ELKHART
IN
46515
1
0
0
0
Common Stock
13693
D
Common Stock
2021-02-18
4
S
0
426
80.25
D
8309
I
See footnote
Common Stock
2021-02-19
4
S
0
410
82.25
D
7899
I
See footnote
Common Stock
94000
I
By Spouse
Reflects portion of the shares sold through an entity that is controlled by the reporting person in which the reporting person has a pecuniary interest. The reporting person disclaims beneficial ownership of other shares sold by the entity.
/s/ M. Scott Welch by Jacob R. Petkovich, attorney-in-fact
2021-02-19
EX-24
2
welch-poa1x14x21.htm
S. WELCH POWER OF ATTORNEY 01-14-21
welch-poa1x14x21
GRAPHIC
3
welch-poa1x14x21001.jpg
S. WELCH POWER OF ATTORNEY 01-14-21
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