Indiana
(State
or other jurisdiction of incorporation or
organization)
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35-1057796
(I.R.S.
Employer Identification No.)
|
PATRICK
INDUSTRIES, INC. 2009 OMNIBUS INCENTIVE PLAN
(Full
title of the Plan)
Andy
L. Nemeth
Executive
Vice President-Finance and Chief Financial Officer
107
West Franklin Street, P.O. Box 638
Elkhart,
IN 46515
Telephone:
(574) 294-7511
(Name,
address, including zip code, and telephone number,
including
area code, of Registrant's agent for
service)
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Copy
to:
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Robert
A. Schreck, Jr., P.C.
McDermott
Will & Emery LLP
227
West Monroe Street
Chicago,
IL 60606
Telephone:
(312) 372-2000
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Title
of securities
to
be registered
|
Amount
to be registered
(1)
(2)
|
Proposed
maximum
offering
price
per
share (3)
|
Proposed
maximum aggregate offering price (3)
|
Amount
of
registration
fee
|
Common
Stock, without par value, including Preferred Share Purchase Rights
(4)
|
750,000
|
$3.05
|
$2,287,500
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$164
|
(1)
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In
addition, the number of shares available for issuance under the Patrick
Industries, Inc. 2009 Omnibus Incentive Plan (the “2009 Plan”) include
shares subject to outstanding awards under the Registrant’s 1987 Stock
Option Program, as amended and restated (the “Prior Plan”) and shares that
were available for future awards under the Prior Plan as of October 19,
2009, all of which were previously registered under Registrant's
Registration Statement on Form S-8 (SEC No.
333-145717).
|
(2)
|
Pursuant
to Rule 416 under the Securities Act of 1933, as amended (the “Securities
Act”), this Registration Statement shall also cover any additional shares
of Common Stock which may become issuable pursuant to the antidilution
provision of the 2009 Plan.
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(3)
|
Estimated
solely for purposes of computing the registration fee pursuant to Rule
457(c) and (h) under the Securities Act on the basis of the
average of the high and low sales prices of the Common Stock reported on
The Nasdaq Global Market on March 25,
2010.
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(4)
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Prior
to the occurrence of certain events, the Preferred Share Purchase Rights
will not be evidenced separately from the Common Stock.
|
Not
applicable.
|
3.1
|
Articles
of Incorporation of Patrick Industries, Inc. (incorporated herein by
reference to Exhibit 3.1 to Form 10-K filed on March 30,
2010).
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3.2
|
Amended
and Restated By-Laws of Patrick Industries, Inc. (incorporated herein by
reference to Exhibit 3.1 to Form 8-K filed on January 21,
2009).
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4.1
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Second
Amended and Restated Registration Rights Agreement, dated as of December
11, 2008, by and among Patrick Industries, Inc., Tontine Capital Partners,
L.P., Tontine Capital Overseas Master Fund, L.P. and the lenders party
thereto (incorporated herein by reference to Exhibit 10.3 to Form 8-K
filed on December 15, 2008).
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4.2
|
Patrick
Industries, Inc. 2009 Omnibus Incentive Plan (incorporated herein by
reference to Appendix A to the revised Definitive Proxy Statement on
Schedule 14A filed on October 20,
2009).
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5.1
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Opinion
of McDermott Will & Emery LLP.
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10.1
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Rights
Agreement, dated March 21, 2006, by and between Patrick Industries, Inc.
and National City Bank (incorporated herein by reference to Exhibit 10.1
to Form 8-K filed on March 23,
2006).
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10.2
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Amendment
No. 1 to Rights Agreement, dated May 18, 2007, by and between Patrick
Industries, Inc. and National City Bank (incorporated herein by reference
to Exhibit 10.5 to Form 8-K filed on May 24,
2007).
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10.3
|
Amendment
No. 2 to Rights Agreement, dated March 12, 2008, between Patrick
Industries, Inc. and National City Bank, as Rights Agent (incorporated
herein by reference to Exhibit 10.3 to Form 8-K filed on March 13,
2008).
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23.1
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Consent
of Crowe Horwath LLP.
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23.2
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Consent
of Ernst & Young LLP.
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23.3
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Consent
of McDermott Will & Emery LLP (included in Exhibit
5.1).
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24.1
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Power
of Attorney (filed as part of signature
page).
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Signature
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Title
|
||
/s/ Paul E.
Hassler
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Chairman
of the Board
|
||
Paul
E. Hassler
|
|||
/s/
Todd M. Cleveland
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President
and Chief Executive Officer and Director
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||
Todd
M. Cleveland
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(Principal
Executive Officer)
|
||
/s/
Andy L. Nemeth
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Executive
Vice President-Finance and Chief Financial Officer
|
||
Andy
L. Nemeth
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and
Director (Principal Financial Officer)
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||
/s/
Darin R. Schaeffer
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Vice
President, Corporate Controller, and Principal
Accounting
|
||
Darin
R. Schaeffer
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Officer
|
||
/s/ Terrence D.
Brennan
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Director
|
||
Terrence
D. Brennan
|
|||
/s/
Joseph M. Cerulli
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Director
|
||
Joseph
M. Cerulli
|
|||
/s/ Keith V.
Kankel
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Director
|
||
Keith
V. Kankel
|
|||
/s/
Larry D. Renbarger
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Director
|
||
Larry
D. Renbarger
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/s/ Walter E.
Wells
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Director
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||
Walter
E. Wells
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