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Pohlman Kevin M – ‘4’ for 1/2/20 re: Patterson Companies, Inc.

On:  Monday, 1/6/20, at 3:25pm ET   ·   For:  1/2/20   ·   Accession #:  1209191-20-1659   ·   File #:  0-20572

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 1/06/20  Pohlman Kevin M                   4                      1:10K  Patterson Companies, Inc.         DONNELLEY FIN… File16/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 Submission -- doc4.xml/3.6                   HTML      3K 




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 4 Submission
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
POHLMAN KEVIN M

(Last)(First)(Middle)
822 7TH STREET, SUITE 740

(Street)
GREELEYCO80631

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
PATTERSON COMPANIES, INC. [ PDCO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
XOfficer (give title below) Other (specify below)
President - Animal Health
3. Date of Earliest Transaction (Month/Day/Year)
1/2/20
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock 1/2/20F (1) 766D$20.4377,185 (2) (3)D
Common Stock 814 (4)IBy ESOP
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Employee Stock Options (5)$22.25 (6) 7/1/29Common Stock33,784 33,784D
Employee Stock Options (7)$22.48 7/1/21 7/1/28Common Stock13,345 13,345D
Employee Stock Options (8)$39.23 8/7/20 8/7/27Common Stock5,539 5,539D
Employee Stock Options (9)$47.51 7/1/20 7/1/27Common Stock13,935 13,935D
Explanation of Responses:
(1)  Shares withheld for taxes incurred upon the lapse of restrictions on restricted stock issued pursuant to the Patterson Companies, Inc. Capital Accumulation Plan.
(2)  Includes 12,010 Restricted Stock Units ("RSUs") awarded on 9/21/15, 7/1/16, 7/1/17, 8/7/17, 7/1/18 and 7/1/19 to Reporting Person pursuant to the Patterson Companies, Inc. Amended and Restated 2015 Omnibus Incentive Plan. The RSUs vest contingent upon continued employment as follows: 1,879 units in aggregate vest on 7/1/20, 191 units vest on 8/7/20, 314 units vest on 9/21/20, 1,881 units in aggregate vest on 7/1/21, 191 units vest on 8/7/21, 6,473 units vest on 7/1/22, 191 units vest on 8/7/22 and 890 units vest on 7/1/23.
(3)  Includes 42,191 RSUs awarded to Reporting Person pursuant to a Restrictive Covenants, Severance and Change in Control Agreement between Patterson Companies, Inc. and the Reporting Person. Each RSU represents a right to receive one share of common stock upon vesting. The RSUs are issued under the Plan and will vest, contingent upon continued employment as follows: 14,063 units vest on 6/11/20 and 28,128 units vest on 6/11/21.
(4)  Represents shares of common stock indirectly held by the Reporting Person's Employee Stock Ownership Plan (ESOP) account through December 31, 2019.
(5)  Stock options granted pursuant to the Plan on 7/1/19.
(6)  Options are exercisable as follows: 33% on 7/1/20, 33% on 7/1/21 and 34% on 7/1/22.
(7)  Stock options granted pursuant to the Plan on 7/1/18.
(8)  Stock option granted pursuant to the Plan on 8/7/17.
(9)  Stock option granted pursuant to the Plan on 7/1/17.
Remarks:
Les B. Korsh, by Power of Attorney 1/6/20
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
____________
Transaction Code:
    F    Payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3.

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