0000076605-24-000011.txt : 20240123 0000076605-24-000011.hdr.sgml : 20240123 20240123212717 ACCESSION NUMBER: 0000076605-24-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240121 FILED AS OF DATE: 20240123 DATE AS OF CHANGE: 20240123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NEMETH ANDY L CENTRAL INDEX KEY: 0001209929 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 24554098 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] ORGANIZATION NAME: 04 Manufacturing 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 wk-form4_1706063227.xml FORM 4 X0508 4 2024-01-21 0 0000076605 PATRICK INDUSTRIES INC PATK 0001209929 NEMETH ANDY L 107 W. FRANKLIN ST ELKHART IN 46515 1 1 0 0 Chief Executive Officer 0 Common Stock 2024-01-21 4 F 0 3392 98.23 D 274965 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 2021 that became fully vested in January 2024. /s/ Andy L. Nemeth by Joel D. Duthie, attorney-in-fact 2024-01-23