-----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, SE4bxPgudxeKsQxvCY9ELHdAbF+Rgoi/7bfQPirrWH+B8fEV7dFgHsq4hHWGb0/u LIQU2wXadwZjUGHs7jBIzw== 0001179110-05-008574.txt : 20050429 0001179110-05-008574.hdr.sgml : 20050429 20050429190728 ACCESSION NUMBER: 0001179110-05-008574 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050427 FILED AS OF DATE: 20050429 DATE AS OF CHANGE: 20050429 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: CANTWELL THOMAS CENTRAL INDEX KEY: 0001032277 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 05788008 BUSINESS ADDRESS: STREET 1: DISCREET LOGIC INC STREET 2: 5505 BOULEVARD ST LAURENT SUITE 5200 CITY: MONTREAL QUEBEC CANA STATE: A8 ZIP: 00000 MAIL ADDRESS: STREET 1: 1 MCGILL STREET APT#1010 CITY: MONTREAL STATE: A8 ZIP: H2Y 4A3 4 1 edgar.xml FORM 4 - X0202 4 2005-04-27 0 0000350846 SUPREME INDUSTRIES INC STS 0001032277 CANTWELL THOMAS #1 MCGILL STREET, APT. 1010 MONTREAL A8 H2Y 4A3 QUEBEC, CANADA 1 0 0 0 Class A Common Stock 2005-04-27 4 M 0 5775 4.87 A 5775 D Class B Common Stock 700946 D Stock Option 4.87 2005-04-27 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 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. See exercise price under Column 2 Thomas Cantwell 2005-04-29 -----END PRIVACY-ENHANCED MESSAGE-----