0001209191-18-034094.txt : 20180530 0001209191-18-034094.hdr.sgml : 20180530 20180530143916 ACCESSION NUMBER: 0001209191-18-034094 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180521 FILED AS OF DATE: 20180530 DATE AS OF CHANGE: 20180530 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frohning Andrea L. CENTRAL INDEX KEY: 0001591945 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20572 FILM NUMBER: 18867697 MAIL ADDRESS: STREET 1: 13515 BALLANTYNE CORPORATE PLACE CITY: CHARLOTTE STATE: NC ZIP: 28277 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATTERSON COMPANIES, INC. CENTRAL INDEX KEY: 0000891024 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 410886515 STATE OF INCORPORATION: MN FISCAL YEAR END: 0426 BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 BUSINESS PHONE: 6516861600 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 FORMER COMPANY: FORMER CONFORMED NAME: PATTERSON DENTAL CO DATE OF NAME CHANGE: 19950111 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-05-21 0 0000891024 PATTERSON COMPANIES, INC. PDCO 0001591945 Frohning Andrea L. 1031 MENDOTA HEIGHTS ROAD ST. PAUL MN 55120 0 1 0 0 Chief Human Resources Officer Common Stock 11312 D Represents Restricted Stock Units ("RSUs") awarded on 5/21/2018 to Reporting Person pursuant to the Patterson Companies, Inc. 2015 Omnibus Incentive Plan. The RSUs awarded vest, assuming continued employment, 100% on 5/21/2021. Les B. Korsh, by Power of Attorney 2018-05-30 EX-24.3_792890 2 poa.txt POA DOCUMENT LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS Know all by these presents, that the undersigned hereby makes, constitutes and appoints Les B. Korsh as the undersigned's true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the name, place and stead of the undersigned to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director and/or 10% beneficial owner of Patterson Companies, Inc. (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder; (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms 3, 4, or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned acknowledges that the foregoing attorney-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to such attorney-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 29th day of May, 2018. /s/ Andrea L. Frohning Signature STATE OF MINNESOTA COUNTY OF DAKOTA On this 29nd day of May, 2018, Andrea L. Frohning personally appeared before me, and acknowledged that she executed the foregoing instrument for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. /s/ Kelli M. Schmidt NOTARY PUBLIC - MINNESOTA My Commission Expires: Jan 31, 2019