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