-----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, DVhFCjVqyMs1ZSfH9fR3TixD5Eu54U9loM4jH7llOPMRi6p90u3IkF4NzMouVkWW IcuX6ZoMSiO1w7V7m9MIng== 0001179110-09-002351.txt : 20090210 0001179110-09-002351.hdr.sgml : 20090210 20090210151349 ACCESSION NUMBER: 0001179110-09-002351 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081227 FILED AS OF DATE: 20090210 DATE AS OF CHANGE: 20090210 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: FLYNN EDWARD L CENTRAL INDEX KEY: 0001031599 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 09585483 BUSINESS ADDRESS: STREET 1: 75 11 MYRTLE AVE CITY: GLENDALE STATE: NY ZIP: 11385 BUSINESS PHONE: 7183865800 MAIL ADDRESS: STREET 1: 211 SOMERVILLE ROAD RTE 202N CITY: BEDMINISTER STATE: NJ ZIP: 07921 5 1 edgar.xml FORM 5 - X0303 5 2008-12-27 0 0 0 0000350846 SUPREME INDUSTRIES INC STS 0001031599 FLYNN EDWARD L 7511 MYRTLE AVENUE GLENDALE NY 11385 1 0 0 0 Class A Common Stock 103146 D Class A Common Stock 21624 I By Spouse Nonqualified Stock Option 5.73 2015-01-16 Class A Common Stock 6487 6487 D Holdings adjusted for 2% and 6% stock dividends paid to all holders on August 29, 2008 and November 28, 2008, respectively. Currently exercisable. Reporting person disclaims beneficial ownership of shares owned by spouse. Edward L. Flynn 2009-02-10 -----END PRIVACY-ENHANCED MESSAGE-----