0000076605-24-000024.txt : 20240126 0000076605-24-000024.hdr.sgml : 20240126 20240126210546 ACCESSION NUMBER: 0000076605-24-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240124 FILED AS OF DATE: 20240126 DATE AS OF CHANGE: 20240126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ellis Kip B CENTRAL INDEX KEY: 0001685896 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 24569865 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN STREET, P.O. BOX 638 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] 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_1706321135.xml FORM 4 X0508 4 2024-01-24 0 0000076605 PATRICK INDUSTRIES INC PATK 0001685896 Ellis Kip B 107 W. FRANKLIN ST ELKHART IN 46515 0 1 0 0 EVP Operations & COO 0 Common Stock 2024-01-24 4 A 0 10737 0 A 120377 D Common Stock 2024-01-24 4 A 0 2684 0 A 123061 D Shares are performance-based and vest after three years upon achievement of target Company objectives. Annual Management time-based grant awarded January 2024 and vesting in January 2027. /s/ Kip B. Ellis by Joel D. Duthie, attorney-in-fact 2024-01-26