Form Type: 4

SEC EDGAR Link
Accession Number:0000076605-21-000076
Date:2021-03-09
Issuer: PATRICK INDUSTRIES INC (PATK)
Original Submission Date:

Reporting Person:

ELLIS KIP B
107 W. FRANKLIN ST
ELKHART, IN 46515

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2021-03-09 M 14,910 a $53.83 112,316 direct
COMMON STOCK 2021-03-09 S 14,910 d $88.15 97,406 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
COMMON STOCK OPTIONS 53.83 2021-03-09 deemed execution date M 14,910 (d) 2021-01-17 2026-01-17 common stock 14,910 $53.83 0 direct
Footnotes
IDfootnote
f1 reflects exercise of stock options reported on table ii of this form 4.
f2 the price quoted in column 4 is a weighted average price. these shares were sold in multiple transactions at prices ranging from $88.06 to $88.46, inclusive. the reporting person undertakes to provide to patrick industries, inc., any security holder of patrick industries, inc., or the staff of the securities and exchange commission, upon request, full information regarding the number of shares sold at each separate price within the price range set forth in this footnote.
f3 reflects the date the stock options became fully exercisable.
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