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