Form: 3

Initial statement of beneficial ownership of securities

May 23, 2025

Documents

SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES


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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1. Name and Address of Reporting Person*
Petkovich Jacob R
(Last) (First) (Middle)
107 W. FRANKLIN STREET
(Street)
ELKHART IN 46516
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/19/2025 		3. Issuer Name and Ticker or Trading Symbol
PATRICK INDUSTRIES INC [ PATK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President - Marine
 5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 37,678(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options 02/25/2026(2) 02/25/2034 Common Stock 42,180 92.72 D
Stock Appreciation Rights 02/25/2026(3) 02/25/2034 Common Stock 10,545 92.72 D
Stock Appreciation Rights 02/25/2026(3) 02/25/2034 Common Stock 10,545 110.76 D
Stock Appreciation Rights 02/25/2026(3) 02/25/2034 Common Stock 10,545 132.31 D
Stock Appreciation Rights 02/25/2026(3) 02/25/2034 Common Stock 10,545 158.05 D
Explanation of Responses:
1. Represents the aggregate of shares beneficially owned and comprised of: (1) 2,051 time-based shares granted in May 2025 to the reporting person by the Issuer and vesting in January 2028; (2) 8,206 performance-based shares granted in May 2025 which will vest in January 2028 subject to the achievement of target Company objectives; and (3) 27,421 shares owned by the reporting person prior to his appointment by the Company's Board of Directors as President-Marine on May 19, 2025. The vesting of both the time-based and performance-based share awards is subject to the terms of each of the awards, including the Reporting Person's continued employment with the Issuer.
2. The stock options will vest pro-rata over approximately four years beginning on February 25, 2026.
3. The stock appreciation rights will vest pro-rata over approximately four years beginning on February 25, 2026.
Remarks:
Jacob R. Petkovich by Joel D. Duthie, attorney-in-fact 05/23/2025
** 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 5 (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.