Filing Details

Accession Number:
0001181431-11-034131
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-06-02 11:56:31
Reporting Period:
2011-06-01
Filing Date:
2011-06-02
Accepted Time:
2011-06-02 11:56:31
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
891024 Patterson Companies Inc. PDCO Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047) 410886515
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1243904 W James Wiltz 129 Virginia Street
St. Paul MN 55102
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Disposition 2011-06-01 6,725 $34.28 120,023 No 4 S Direct
Common Stock Disposition 2011-06-01 5,453 $34.01 270,676 No 4 S Indirect Revocable Trust
Common Stock Disposition 2011-06-01 75,000 $34.16 25,000 No 4 S Indirect GRAT
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Indirect Revocable Trust
No 4 S Indirect GRAT
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 9,550 Indirect Family Trust
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Forward Sale Contract (Obligation to Sell) $0.00 200,000 0 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
200,000 0 Direct
Footnotes
  1. Revocable Trust of which the Reporting Person is the Settlor and Trustee.
  2. Held by Grantor Retained Annuity Trust.
  3. In Trust for members of Reporting Person's Family.
  4. The Reporting Person (RP) entered into a prepaid forward sale contract with an unaffiliated third party buyer. The RP agreed to deliver to the buyer up to 200,000 shares on 12/29/2011, the maturity date of the contract. The RP received $4,408,248 as of the date of contract. The RP pledged 200,000 shares (Pledged Shares) to secure his obligations under the contract. The number of shares to be delivered to the buyer on the maturity date is as follows: (a) if the value per share on the maturity date (Maturity Price) is less than $24.92, the RP will deliver all the Pledged Shares; (b) if the Maturity Price is between $24.92 and $34.61, the RP will deliver shares equal to $24.92 divided by the Maturity Price times the number of Pledged Shares; and (c) if the Maturity Price is greater than $34.61, the RP will deliver shares equal to the Pledged Shares times the ratio of $24.92 plus Maturity Price less $34.61 divided by Maturity Price, or the cash equivalent.