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Nemeth Andy L – ‘4’ for 2/24/21 re: Patrick Industries Inc.

On:  Friday, 2/26/21, at 8:51pm ET   ·   For:  2/24/21   ·   Accession #:  76605-21-61   ·   File #:  0-03922

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

 2/26/21  Nemeth Andy L                     4                      1:27K  Patrick Industries Inc.           Patrick Industries Inc.

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           Statement of Changes in Beneficial Ownership of     HTML      3K 
                Securities by an Insider --                                      
                wf-form4_161439066301327.xml/3.6                                 




        

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:  Statement of Changes in Beneficial Ownership of Securities by an Insider — wf-form4_161439066301327.xml/3.6
 
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*
NEMETH ANDY L

(Last)(First)(Middle)
107 W. FRANKLIN ST

(Street)
ELKHARTIN46515

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
PATRICK INDUSTRIES INC [ PATK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirector 10% Owner
XOfficer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
2/24/21
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 2/24/21 S 2,500 (1)D$84266,796D
Common Stock 2/24/21 M 22,289 (2)A$40.95289,085D
Common Stock 2/24/21 S 22,289D$83.76 (3)266,796D
Common Stock 2/24/21 M 9,180 (4)A$40.95275,976D
Common Stock 2/24/21 M 9,180 (4)A$47.51285,156D
Common Stock 2/24/21 M 9,180 (4)A$55.11294,336D
Common Stock 2/24/21 M 9,180 (4)A$63.93303,516D
Common Stock 2/24/21 M 7,459 (4)A$53.83310,975D
Common Stock 2/24/21 M 7,459 (4)A$60.03318,434D
Common Stock 2/24/21 M 7,459 (4)A$66.93325,893D
Common Stock 2/24/21 M 7,459 (4)A$74.63333,352D
Common Stock 2/24/21 D 45,788D$83.21287,564D
Common Stock 2/24/21 F 8,840D$83.21278,724D
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
Common Stock Options$40.95 2/24/21 M 22,289 (5) 9/26/25Common Stock22,289$051,151D
Stock Appreciation Rights$40.95 2/24/21 M 9,180 9/26/20 (6) 9/26/25Common Stock9,180$09,180D
Stock Appreciation Rights$47.51 2/24/21 M 9,180 9/26/20 (6) 9/26/25Common Stock9,180$09,180D
Stock Appreciation Rights$55.11 2/24/21 M 9,180 9/26/20 (6) 9/26/25Common Stock9,180$09,180D
Stock Appreciation Rights$63.93 2/24/21 M 9,180 9/26/20 (6) 9/26/25Common Stock9,180$09,180D
Stock Appreciation Rights$53.83 2/24/21 M 7,459 1/17/21 (6) 1/17/26Common Stock7,459$07,459D
Stock Appreciation Rights$60.03 2/24/21 M 7,459 1/17/21 (6) 1/17/26Common Stock7,459$07,459D
Stock Appreciation Rights$66.93 2/24/21 M 7,459 1/17/21 (6) 1/17/26Common Stock7,459$07,459D
Stock Appreciation Rights$74.63 2/24/21 M 7,459 1/17/21 (6) 1/17/26Common Stock7,459$07,459D
Explanation of Responses:
(1)  The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
(2)  Reflects exercise of stock options reported on Table II of this Form 4.
(3)  The price quoted in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $83.00 to $84.97, 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.
(4)  Reflects exercise of the stock appreciation rights reported on Table II of this Form 4.
(5)  The stock options were fully exercisable on September 26, 2020.
(6)  Reflects the date the stock appreciation rights became fully exercisable.
Remarks:
/s/ Andy L. Nemeth by Jacob R. Petkovich, attorney-in-fact 2/26/21
** 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 Codes:
    D    Disposition to the Issuer of Issuer equity securities pursuant to Rule 16b-3(e).
    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.
    M    Exercise or conversion of derivative security exempted pursuant to Rule 16b-3.
    S    Open market or private sale of non-derivative or derivative security.

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