0001104659-11-033622.txt : 20110607
0001104659-11-033622.hdr.sgml : 20110607
20110607170838
ACCESSION NUMBER: 0001104659-11-033622
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20110607
DATE AS OF CHANGE: 20110607
EFFECTIVENESS DATE: 20110607
FILER:
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: 1225
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-160916
FILM NUMBER: 11899117
BUSINESS ADDRESS:
STREET 1: P O BOX 237
STREET 2: 2581 EAST KERCHER ROAD
CITY: GOSHEN
STATE: IN
ZIP: 46528
BUSINESS PHONE: 5746423070
MAIL ADDRESS:
STREET 1: P O BOX 237
STREET 2: 2581 EAST KERCHER ROAD
CITY: GOSHEN
STATE: IN
ZIP: 46528
FORMER COMPANY:
FORMER CONFORMED NAME: EXPLORATION SURVEYS INC
DATE OF NAME CHANGE: 19850813
D
1
primary_doc.xml
X0704
D
LIVE
0000350846
SUPREME INDUSTRIES INC
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
(574) 642-3070
DELAWARE
None
EXPLORATION SURVEYS INC
Corporation
true
Kim
Korth
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Executive Officer
Director
President and Chief Executive Officer
Herbert
M.
Gardner
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Executive Officer
Director
Chairman of the Board
William
J.
Barrett
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Executive Officer
Director
Executive Vice President, Secretary and Assistant Treasurer
Robert
J.
Campbell
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Director
Edward
L.
Flynn
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Director
Mark
C.
Neilson
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Director
Wayne
A.
Whitener
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Director
Robert
W.
Wilson
2581 E. Kercher Road
Goshen
IN
INDIANA
46528
Director
Matthew
W.
Long
2581 E. Kercher Road.
Goshen
IN
INDIANA
46528
Executive Officer
Chief Financial Officer
Manufacturing
Decline to Disclose
- 06
false
2011-05-25
false
true
false
0
Indefinite
1092000
Indefinite
Under the terms of a Settlement Agreement between Issuer and Investor dated May 25, 2011, Issuer issued 350,000 shares of Class A Common Stock to the Investor, and agreed to issue an additional 350,000 shares on January 15, 2012.
false
1
0
0
0
false
Supreme Industries Inc
/s/ Matthew W. Long
Matthew W. Long
Chief Financial Officer
2011-06-07