-----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, BdC0P5Q440vj4sq7iJCHeRjrKnQNykgykGLhXYylXze76wFf+Zoe/USOBzmbieRO kvVjd/f2jVV97Oq7oGcvnw== 0001179110-05-012316.txt : 20050614 0001179110-05-012316.hdr.sgml : 20050613 20050614183130 ACCESSION NUMBER: 0001179110-05-012316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050610 FILED AS OF DATE: 20050614 DATE AS OF CHANGE: 20050614 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: CAMPBELL ROBERT JAMES CENTRAL INDEX KEY: 0001196812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 05896043 MAIL ADDRESS: STREET 1: JULIE GARDNER STREET 2: 15690 TREASURE COVE CITY: BULLARD STATE: TX ZIP: 25757 4 1 edgar.xml FORM 4 - X0202 4 2005-06-10 0 0000350846 SUPREME INDUSTRIES INC STS 0001196812 CAMPBELL ROBERT JAMES 15690 TREASURE COVE BULLARD TX 75757 1 0 0 0 Class A Common Stock 2005-06-10 5 G 0 E 2585 D 74532 D Class A Common Stock 410 I By Spouse Class B Common Stock 44044 D Stock Option 5.09 2003-05-01 2007-05-01 Class A Common Stock 5500 5500 D Stock Option 4.50 2004-05-07 2008-05-07 Class A Common Stock 5500 5500 D Reporting Person disclaims beneficial ownership of shares owned by Spouse. Not applicable. The 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. Robert J. Campbell 2005-06-14 -----END PRIVACY-ENHANCED MESSAGE-----