Patrick Industries (PATK) Form 4 PATRICK INDUSTRIES / Todd M Cleveland ownership change

SEC Form 4

FORM 4

UNITED 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

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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^*

Cleveland Todd M

(Last) (First) (Middle)

107 W. FRANKLIN ST

(Street)

ELKHART IN 46515

(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)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
CEO

3. Date of Earliest Transaction (Month/Day/Year)
11/30/2017

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form 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)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/30/2017		M(1)		12,500	A	$18.45	353,327	D
Common Stock	11/30/2017		M(1)		12,500	A	$22.13	365,827	D
Common Stock	11/30/2017		M(1)		12,500	A	$26.56	378,327	D
Common Stock	11/30/2017		M(1)		12,500	A	$31.87	390,827	D
Common Stock	11/30/2017		D(1)		12,230	D	$101.2	378,597	D
Common Stock	11/30/2017		F		17,127	D	$101.2	361,470	D
Common Stock								15,000	I	Held by family members living in household

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)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock Appreciation Rights(2)	$18.45	11/30/2017		M			12,500	(3)	12/18/2022	Common Stock	12,500	$0	12,499	D
Stock Appreciation Rights(2)	$22.13	11/30/2017		M			12,500	(3)	12/18/2022	Common Stock	12,500	$0	12,499	D
Stock Appreciation Rights(2)	$26.56	11/30/2017		M			12,500	(3)	12/18/2022	Common Stock	12,500	$0	12,499	D
Stock Appreciation Rights(2)	$31.87	11/30/2017		M			12,500	(3)	12/18/2022	Common Stock	12,500	$0	12,499	D

Explanation of Responses:

1. Reflects exercise of the stock appreciation rights reported on Table II of this Form 4.

2. Reflects stock appreciation rights that were granted on December 18, 2013.

3. The stock appreciation rights exercised on November 30, 2017 became exercisable on December 18, 2016.

Remarks:

	/s/ Todd M. Cleveland by Joshua A. Boone, Attorney-in-fact	12/04/2017
	** Signature of Reporting Person	Date
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).
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