-----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, WKzE35MYKLTTxO1743z+eRNbao2S26JM4F8TcJ3XyARYzIP3oqDukluRjXdKe5Jg RnDritj/SYqxSNbfObWshw== 0001179110-06-003692.txt : 20060214 0001179110-06-003692.hdr.sgml : 20060214 20060214153042 ACCESSION NUMBER: 0001179110-06-003692 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: CAMPBELL ROBERT JAMES CENTRAL INDEX KEY: 0001196812 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 06614136 MAIL ADDRESS: STREET 1: JULIE GARDNER STREET 2: 15690 TREASURE COVE CITY: BULLARD STATE: TX ZIP: 25757 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 0001196812 CAMPBELL ROBERT JAMES 15690 TREASURE COVE BULLARD TX 75757 1 0 0 0 Class A Common Stock 74532 D Class A Common Stock 410 I By Spouse Class B Common Stock 44044 D Non-Statutory Stock Option 5.09 2003-05-01 2007-05-01 Class A Common 5500 5500 D Non-Statutory Stock Option 4.50 2004-05-07 2008-05-06 Class A Common 5500 5500 D Non-Statutory Stock Option (reload) 6.14 2005-04-25 5 A 0 4580 A 2005-12-31 2010-04-24 Class A Common 4580 4580 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. Reporting person disclaims beneficial ownership of shares owned by Spouse. Robert J. Campbell 2006-02-14 -----END PRIVACY-ENHANCED MESSAGE-----