0000076605-17-000077.txt : 20170530 0000076605-17-000077.hdr.sgml : 20170530 20170530173718 ACCESSION NUMBER: 0000076605-17-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170309 FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 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: WELCH M SCOTT CENTRAL INDEX KEY: 0001189422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 17878736 MAIL ADDRESS: STREET 1: 6 LONGWOOD COURT CITY: ELKHART STATE: IN ZIP: 46516 4 1 wf-form4_149618022375954.xml FORM 4 X0306 4 2017-03-09 0 0000076605 PATRICK INDUSTRIES INC PATK 0001189422 WELCH M SCOTT 107 W. FRANKLIN ST ELKHART IN 46515 1 0 0 0 Common Stock 2017-03-09 4 P 0 10000 73 A 39908 D These shares were purchased as part of the Issuer's underwritten public offering of common stock. /s/ M. Scott Welch by Joshua A. Boone, attorney-in-fact 2017-05-30