0001437749-15-011973.txt : 20150608 0001437749-15-011973.hdr.sgml : 20150608 20150608182817 ACCESSION NUMBER: 0001437749-15-011973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150604 FILED AS OF DATE: 20150608 DATE AS OF CHANGE: 20150608 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MILLWOOD, VENEER, PLYWOOD & STRUCTURAL WOOD MEMBERS [2430] 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: 574-206-7515 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cerulli Joseph M CENTRAL INDEX KEY: 0001443241 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 15919472 MAIL ADDRESS: STREET 1: P.O. BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 4 1 rdgdoc.xml FORM 4 X0306 4 2015-06-04 0000076605 PATRICK INDUSTRIES INC PATK 0001443241 Cerulli Joseph M 107 W. FRANKLIN ST ELKHART IN 46515 1 Common Stock 2015-06-04 4 G 0 400 0 D 27955 D Represents shares of common stock gifted by the reporting person. The Common Stock holding reported herein has been adjusted to reflect a three-for-two stock split paid by the Issuer on May 29, 2015. /s/ Joseph M. Cerulli by Andy L. Nemeth, attorney-in-fact 2015-06-08