-----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, B9Az3zvNMxdLA0Clve0rVT4o0Eb9LJG+y4SezObxl9+gXLUYSz5CaY862CmlfdSP oLTzYoFDnlM0gOy+PRAM4w== 0000929966-04-000002.txt : 20040107 0000929966-04-000002.hdr.sgml : 20040107 20040107182118 ACCESSION NUMBER: 0000929966-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040106 FILED AS OF DATE: 20040107 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: 04514000 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 2004-01-06 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 2004-01-06 4 G 0 8000 6.25 D 520578 D Class A Common Stock 81686 I By Spouse Class B Common Stock 615447 D Class B Common Stock 9849 I By Spouse Stock Option 5.36 2001-04-27 2005-04-27 Class A Common 28875 28875 D Stock Option 3.13 2001-11-01 2005-11-01 Class A Common 33000 33000 D Stock Option 5.6 2003-05-01 2007-05-01 Class A Common 33000 33000 D Stock Option 4.95 2004-05-07 2008-05-07 Class A Common 33000 33000 D Includes 293,713 and 38,291 shares owned by reporting person's MPPP and IRA, respectively. Reporting person disclaims beneficial ownership of shares owned by spouse. Includes 60,778 and 29,558 shares owned by reporting person's MPPP and IRA, respectively. 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. WILLIAM J. BARRETT 2004-01-07 -----END PRIVACY-ENHANCED MESSAGE-----