-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, OoTOdHZzDroL7r2geMcT2kiCRpPKLazs4zNchbd3OdaiE6nIryVXFh8+w/YWduHQ g0QVbi1/CrnD2cBsfC0e3Q== 0000929966-03-000020.txt : 20031016 0000929966-03-000020.hdr.sgml : 20031016 20031016185040 ACCESSION NUMBER: 0000929966-03-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031016 FILED AS OF DATE: 20031016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRETT WILLIAM J CENTRAL INDEX KEY: 0000923415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 03944669 BUSINESS ADDRESS: BUSINESS PHONE: 2125100688 MAIL ADDRESS: STREET 1: P O BOX 6199 CITY: FAIR HAVEN STATE: NJ ZIP: 07704 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SUPREME INDUSTRIES INC CENTRAL INDEX KEY: 0000350846 STANDARD INDUSTRIAL CLASSIFICATION: TRUCK & BUS BODIES [3713] IRS NUMBER: 751670945 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 65140 US 33 E STREET 2: PO BOX 237 CITY: GOSHEN STATE: IN ZIP: 46526 BUSINESS PHONE: 2196423070 MAIL ADDRESS: STREET 1: P O BOX 237 STREET 2: 65140 U S 33 EAST CITY: GOSHEN STATE: IN ZIP: 46526 FORMER COMPANY: FORMER CONFORMED NAME: EXPLORATION SURVEYS INC DATE OF NAME CHANGE: 19850813 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-10-16 0 0000350846 SUPREME INDUSTRIES INC STS 0000923415 BARRETT WILLIAM J P O BOX 6199 FAIR HAVEN NJ 07704 1 1 1 0 Secretary Class A Common Stock 2003-10-16 4 J 0 48932 5 A 538258 D Class A Common Stock 2003-10-16 4 J 0 7426 5 A 81686 I By Spouse Class B Common Stock 2003-10-16 4 J 0 55949 5 A 615447 D Class B Common Stock 2003-10-16 4 J 0 895 5 A 9849 I By Spouse Stock Option 6.5 2003-10-16 4 J 0 3038 217262.5 A 1999-10-28 2003-10-28 Class A Common Stock 33425 33425 D Stock Option 5.36 2003-10-16 4 J 0 2625 154770 A 2001-04-27 2005-04-27 Class A Common Stock 28875 28875 D Stock Option 3.13 2003-10-16 4 J 0 3000 103290 A 2001-11-01 2005-11-01 Class A Common Stock 33000 33000 D Stock Option 5.6 2003-10-16 4 J 0 3000 184800 A 2003-05-01 2007-05-01 Class A Common Stock 33000 33000 D Stock Option 4.95 2003-10-16 4 J 0 3000 163350 A 2004-05-07 2008-05-07 Class A Common Stock 33000 33000 D On September 24, 2003, STS declared a 10% stock dividend payable to all holders of record of Class A and Class B Common Stock as of October 6, 2003, payable October 16, 2003. Reporting person disclaims beneficial ownership of shares owned by spouse. The stock options are exercisable, as follows: one-third exercisable after one (1) year from date of grant; two-thirds exercisable after two years from date of grant; and all exercisable after three years from date of grant. Includes 293,713 and 38,291 shares owned by reporting person's qualified plan and IRA, respectively. Includes 60,778 and 29,558 shares owned by reporting person's qualified plan and IRA, respectively. William J. Barrett 2003-10-16 -----END PRIVACY-ENHANCED MESSAGE-----