0000076605-21-000173.txt : 20211005 0000076605-21-000173.hdr.sgml : 20211005 20211005205759 ACCESSION NUMBER: 0000076605-21-000173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211001 FILED AS OF DATE: 20211005 DATE AS OF CHANGE: 20211005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cleveland Todd M CENTRAL INDEX KEY: 0001407402 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 211308550 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN ST. CITY: ELKHART STATE: IN ZIP: 46515 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_163348186450609.xml FORM 4 X0306 4 2021-10-01 0 0000076605 PATRICK INDUSTRIES INC PATK 0001407402 Cleveland Todd M 107 W. FRANKLIN ST ELKHART IN 46515 1 1 0 0 Executive Board Chairman Common Stock 2021-10-01 4 S 0 10000 87.4621 D 272656 D Common Stock 182237 I Consists of shares held by family members and shares held in a limited liability corporation The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan. The price quoted in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $87.25 to $87.65, inclusive. The Reporting Person undertakes to provide to Patrick Industries, Inc., any security holder of Patrick Industries, Inc., or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the price range set forth in this footnote. /s/ Todd M. Cleveland by Jacob R. Petkovich, Attorney-in-fact 2021-10-05