0001437749-16-032485.txt : 20160519 0001437749-16-032485.hdr.sgml : 20160519 20160519212811 ACCESSION NUMBER: 0001437749-16-032485 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160517 FILED AS OF DATE: 20160519 DATE AS OF CHANGE: 20160519 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: WELLS WALTER E CENTRAL INDEX KEY: 0001015975 STANDARD INDUSTRIAL CLASSIFICATION: PREFABRICATED WOOD BLDGS & COMPONENTS [2452] STATE OF INCORPORATION: IN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 161664583 MAIL ADDRESS: STREET 1: 221 US 20 WEST STREET 2: P 0 BOX 151 CITY: MIDDLEBURY STATE: IN ZIP: 46540 4 1 rdgdoc.xml FORM 4 X0306 4 2016-05-17 0000076605 PATRICK INDUSTRIES INC PATK 0001015975 WELLS WALTER E 107 W. FRANKLIN ST ELKHART IN 46515 1 Common Stock 2016-05-17 4 A 0 1549 0 A 50904 D Annual Director's Stock Grant awarded on May 17, 2016 and vesting on May 17, 2017. /s/ Walter E. Wells by Joshua A. Boone, attorney-in-fact 2016-05-19