0000076605-22-000019.txt : 20220127
0000076605-22-000019.hdr.sgml : 20220127
20220127211732
ACCESSION NUMBER: 0000076605-22-000019
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220125
FILED AS OF DATE: 20220127
DATE AS OF CHANGE: 20220127
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NEMETH ANDY L
CENTRAL INDEX KEY: 0001209929
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-03922
FILM NUMBER: 22565075
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: 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_164333623683410.xml
FORM 4
X0306
4
2022-01-25
0
0000076605
PATRICK INDUSTRIES INC
PATK
0001209929
NEMETH ANDY L
107 W. FRANKLIN ST
ELKHART
IN
46515
1
1
0
0
Chief Executive Officer
Common Stock
2022-01-25
4
F
0
3784
64.96
D
258282
D
Common Stock
2022-01-25
4
F
0
30279
64.96
D
228003
D
Common Stock
2022-01-26
4
A
0
46755
0
A
274758
D
Common Stock
2022-01-26
4
A
0
7792
0
A
282550
D
Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a time-based stock grant awarded in January 2019 that became fully vested in January 2022.
Represents shares of common stock returned to the Company to satisfy the tax withholding obligation associated with a performance-based stock grant awarded in January 2019 that vested after three years upon the achievement of target Company objectives.
Shares are performance-based and vest after three years upon achievement of target Company objectives.
Annual Management time-based grant awarded January 2022 and vesting in January 2025.
/s/ Andy L. Nemeth by Jacob R. Petkovich, attorney-in-fact
2022-01-27