-----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, JRUNw7qfqvRp3XBttSjJFKmwUZe4+lAmANShgTdyCVubilVtHFXKg2vMbnM18sui rpYJH4uioYI4H6RP+zwoWg== 0001179110-08-002684.txt : 20080207 0001179110-08-002684.hdr.sgml : 20080207 20080207193010 ACCESSION NUMBER: 0001179110-08-002684 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071229 FILED AS OF DATE: 20080207 DATE AS OF CHANGE: 20080207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRETT WILLIAM J CENTRAL INDEX KEY: 0000923415 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 08586536 BUSINESS ADDRESS: BUSINESS PHONE: 2125100688 MAIL ADDRESS: STREET 1: P O BOX 6199 CITY: FAIR HAVEN STATE: NJ ZIP: 07704 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 2007-12-29 0 0 1 0000350846 SUPREME INDUSTRIES INC STS 0000923415 BARRETT WILLIAM J P O BOX 6199 FAIR HAVEN NJ 07704 1 1 1 0 Exec V P and Secretary Class A Common Stock 2007-04-25 4 M 0 L 33000 5.60 A 646226 D Class A Common Stock 2007-04-25 4 F 0 L 29568 6.25 D 616658 D Class A Common Stock 101686 I By Spouse Incentive Stock Option 5.60 2007-04-25 4 M 0 L 33000 D 2003-05-01 2007-05-01 Class A Common 33000 0 D Includes 358,713 and 38,291 shares owned by reporting person's MPPP and IRA, respectively. Reporting person disclaims beneficial ownership of shares owned by spouse. Not applicable William J. Barrett 2008-02-07 -----END PRIVACY-ENHANCED MESSAGE-----