-----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, V+e9Wr3EIvc1evhUHZPtzYCsYu++CXpExnoi0qNacMKxfDVeop767Vqqd7xnzV7h il9m/yqAkEbmwaIZvVaeIg== 0001179110-06-003677.txt : 20060214 0001179110-06-003677.hdr.sgml : 20060214 20060214150016 ACCESSION NUMBER: 0001179110-06-003677 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051231 FILED AS OF DATE: 20060214 DATE AS OF CHANGE: 20060214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BORDEN ARTHUR M CENTRAL INDEX KEY: 0001195566 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 06613446 BUSINESS ADDRESS: BUSINESS PHONE: 6315674700 MAIL ADDRESS: STREET 1: C/O SCIENTIFIC INDUSTRIES INC STREET 2: 70 ORVILLE DR CITY: BOHEMIA STATE: NY ZIP: 11716 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 5 1 edgar.xml FORM 5 - X0202 5 2005-12-31 0 0 0 0000350846 SUPREME INDUSTRIES INC STS 0001195566 BORDEN ARTHUR M 575 MADISON AVENUE, 22ND FLOOR NEW YORK NY 10022 1 0 0 0 Class A Common Stock 19685 D Non-Statutory Stock Option 6.65 2005-06-06 5 A 0 6000 A 2005-12-31 2010-06-05 Class A Common 6000 6000 D Effective December 31, 2005, all outstanding, unvested stock options were deemed vested by approval of the Company's Board of Directors. See exercise price under column 2 Arthur M. Borden 2006-02-14 -----END PRIVACY-ENHANCED MESSAGE-----