<SEC-DOCUMENT>0000076605-22-000037-index.html : 20220131 <SEC-HEADER>0000076605-22-000037.hdr.sgml : 20220131 <ACCEPTANCE-DATETIME>20220131212234 ACCESSION NUMBER: 0000076605-22-000037 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220125 FILED AS OF DATE: 20220131 DATE AS OF CHANGE: 20220131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petkovich Jacob R CENTRAL INDEX KEY: 0001834052 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-03922 FILM NUMBER: 22576550 MAIL ADDRESS: STREET 1: 107 W. FRANKLIN STREET STREET 2: PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PATRICK INDUSTRIES INC CENTRAL INDEX KEY: 0000076605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] IRS NUMBER: 351057796 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 574-294-7511 MAIL ADDRESS: STREET 1: 107 WEST FRANKLIN STREET PO BOX 638 CITY: ELKHART STATE: IN ZIP: 46515 </SEC-HEADER> <DOCUMENT> <TYPE>4/A <SEQUENCE>1 <FILENAME>wf-form4a_164368213445846.xml <DESCRIPTION>FORM 4/A <TEXT> Document 1 - file: wf-form4a_164368213445846.html
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