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*
ROGAN TIMOTHY E

(Last) (First) (Middle)
1031 MENDOTA HEIGHTS ROAD

(Street)
ST. PAUL MN 55120

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/19/2021
3. Issuer Name and Ticker or Trading Symbol
PATTERSON COMPANIES, INC. [ PDCO ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President - Dental
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 45,395(1) D
Common Stock 16,908(2) I By ESOP
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
Employee Stock Options(3) (4) 07/19/2031 Common Stock 9,142 29.91 D
Employee Stock Options(5) (6) 07/01/2031 Common Stock 7,093 30.77 D
Employee Stock Options(7) (8) 07/01/2029 Common Stock 33,784 22.25 D
Employee Stock Options(9) (10) 08/01/2028 Common Stock 13,941 24.21 D
Employee Stock Options(11) (12) 07/01/2025 Common Stock 40,000 56.66 D
Explanation of Responses:
1. Includes an aggregate of 23,385 restricted stock units ("RSUs") awarded in the years 2017 through 2021 to Reporting Person pursuant to the Patterson Companies, Inc. Amended and Restated 2015 Omnibus Incentive Plan ("Plan"). The RSUs vest contingent upon continued employment as follows: 1,550 units vest on 8/1/2021, 9,183 units vest on 2/18/2022, 2,769 units vest on 7/1/2022, 3,181 units vest on 7/14/2022, 765 units vest on 7/19/2022, 609 units vest on 7/1/2023, 3,184 units vest on 7/14/2023, 765 units vest on 7/19/2023, 610 units vest on 7/1/2024 and 769 units vest on 7/19/2024.
2. Represents shares of common stock indirectly held by the Report Person's Employee Stock Ownership Plan (ESOP) account through May 21, 2021.
3. Stock options granted pursuant to the Plan on 7/19/2021.
4. Options are exercisable as follows: 33.3% on 7/19/2022, 33.3% on 7/19/2023 and 33.4% on 7/19/2024.
5. Stock options granted pursuant to the Plan on 7/1/2021.
6. Options are exercisable as follows: 33.3% on 7/1/2022, 33.3% on 7/1/2023 and 33.4% on 7/1/2024.
7. Stock options granted pursuant to the Plan on 7/1/2019.
8. Options are exercisable as follows: 33% on 7/1/2020, 33% on 7/1/2021 and 34% on 7/1/2022.
9. Stock options granted pursuant to the Plan on 8/1/2018.
10. Options are exercisable as follows: 33.3% on 8/1/2019, 33.3% on 8/1/2020 and 33.4% on 8/1/2021.
11. Stock options granted pursuant to the Patterson Companies, Inc. Amended and Restated Equity Incentive Plan on 7/1/2015.
12. Options are exercisable as follows: 25% on 7/1/2018, 25% on 7/1/2019 and 50% on 7/1/2020.
Remarks:
Les B. Korsh, by Power of Attorney 07/28/2021
** 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.