Patterson : Initial Statement of Beneficial Ownership (Form 3)
12/21/2021 | 06:03pm EDT
Ownership Submission
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL 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 *
McKoy Philip
2. Date of Event Requiring Statement (Month/Day/Year)
2021-12-13
3. Issuer Name and Ticker or Trading Symbol
PATTERSON COMPANIES, INC. [PDCO]
(Last)
(First)
(Middle)
927 LINCOLN AVENUE
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)
ST. PAUL
MN
55105
6. Individual or Join/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Beneficially Owned
3. Title and Amount of Securities Underlying Derivative Security
4. Conversion or Exercise Price of Derivative Security
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
6. Nature of Indirect Beneficial Ownership
Date Exercisable
Expriation Date
Title
Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address
Relationships
Director
10% Owner
Officer
Other
McKoy Philip
927 LINCOLN AVENUE
ST. PAUL, MN55105
X
Signatures
Les B. Korsh, by Power of Attorney
2021-12-21
**Signature of Reporting Person
Date
Explanation of Responses:
(*)
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.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
Patterson Companies Inc. published this content on 21 December 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 21 December 2021 23:02:02 UTC.