-----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, K51bltIEeRKuaqaZdtiBzhbYjPGIVWx+OTO/lRdP1EAS7nKeaTmuH+qGha3aAAkL IWOiDJYQHhFWD7AeHyDRYA== 0001179110-05-007975.txt : 20050420 0001179110-05-007975.hdr.sgml : 20050420 20050420185827 ACCESSION NUMBER: 0001179110-05-007975 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050418 FILED AS OF DATE: 20050420 DATE AS OF CHANGE: 20050420 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: 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARDNER HERBERT M CENTRAL INDEX KEY: 0000923414 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 05762947 BUSINESS ADDRESS: BUSINESS PHONE: 2125100684 MAIL ADDRESS: STREET 1: P O BOX 6199 CITY: FAIR HAVEN STATE: NJ ZIP: 07704 4 1 edgar.xml FORM 4 - X0202 4 2005-04-18 0 0000350846 SUPREME INDUSTRIES INC STS 0000923414 GARDNER HERBERT M P O BOX 6199 FAIR HAVEN NJ 07704 1 1 0 0 Chairman of Board/President Class A Common Stock 2005-04-18 4 M 0 28875 4.87 A 342276 D Class A Common Stock 2005-04-18 4 F 0 23244 6.05 D 319032 D Class A Common Stock 9663 I By Spouse Class B Common Stock 489322 D Class B Common Stock 56592 I By Spouse Stock Option 4.87 2005-04-18 4 M 0 28875 D 2001-04-27 2005-04-27 Class A Common Stock 28875 0 D Stock Option 2.85 2001-11-01 2005-11-01 Class A Common Stock 33000 33000 D Stock Option 5.09 2003-05-01 2007-05-01 Class A Common Stock 33000 33000 D Stock Option 4.5 2004-05-07 2008-05-07 Class A Common Stock 33000 33000 D Reporting person disclaims beneficial ownership of shares owned by spouse. See exercise price in Column 2. 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 exercisble after three years from date of grant. Herbert M. Gardner 2005-04-20 -----END PRIVACY-ENHANCED MESSAGE-----