-----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, SQiqpRuEKzYgqxnXD7Hole3ablXSUnWaNnSPSO4hKUmjZqVgkT/m9STLXtSR6uHj d31gLAYShxJuPOoJSrZyDA== 0000929966-04-000032.txt : 20040506 0000929966-04-000032.hdr.sgml : 20040506 20040506164326 ACCESSION NUMBER: 0000929966-04-000032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040504 FILED AS OF DATE: 20040506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHROCK HAROLD DOUGLAS CENTRAL INDEX KEY: 0001251090 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 04785668 MAIL ADDRESS: STREET 1: 631 EAST NORTHSHORE DRIVE CITY: SYRACUSE STATE: IN ZIP: 46567 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 X0202 4 2004-05-04 0 0000350846 SUPREME INDUSTRIES INC STS 0001251090 SCHROCK HAROLD DOUGLAS 631 EAST NORTHSHORE DRIVE SYRACUSE IN 46567 1 0 0 0 Class A Common Stock 2004-05-04 4 M 0 5775 4.87 A 84231 D Stock Option 4.87 2004-05-04 4 M 0 5775 D 2001-04-27 2005-04-27 Class A Common 5775 0 D Stock Option 5.09 2003-05-01 2007-05-01 Class A Common 5500 5500 D Stock Option 4.5 2004-05-07 2008-05-07 Class A Common 5500 5500 D Not applicable Stock Options are exercisable, as follows: one-third exercisable after one 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. H. DOUGLAS SCHROCK 2004-05-06 -----END PRIVACY-ENHANCED MESSAGE-----