0001104659-12-003619.txt : 20120124 0001104659-12-003619.hdr.sgml : 20120124 20120124150931 ACCESSION NUMBER: 0001104659-12-003619 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120124 DATE AS OF CHANGE: 20120124 EFFECTIVENESS DATE: 20120124 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: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-160916 FILM NUMBER: 12541873 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/A 1 primary_doc.xml X0704 D/A 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 true 0001104659-11-033622 2011-05-25 false true false 0 1792000 1792000 0 Pursuant to the terms of a Civil Settlement Agreement between the Issuer and the investor, the Issuer issued 350,000 shares of common stock to the investor on 5/25/2011 and issued an additional 350,000 shares of common stock to the investor on 1/15/2012. false 2 0 0 0 false Supreme Industries Inc /s/ Matthew W. Long Matthew W. Long Chief Financial Officer 2012-01-19