-----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, MqK6SYpHitOZcwNpmf07rVqsqa/IJwDMOk/gm4AFfiVO9QHKovqZCVf9OW2w2O+Z tplu4Jf+O4ArICVbyBYHKQ== 0001179110-09-002355.txt : 20090210 0001179110-09-002355.hdr.sgml : 20090210 20090210153010 ACCESSION NUMBER: 0001179110-09-002355 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081227 FILED AS OF DATE: 20090210 DATE AS OF CHANGE: 20090210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITENER WAYNE A CENTRAL INDEX KEY: 0001249462 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 09585568 MAIL ADDRESS: STREET 1: 1304 SUMMIT AVENUE STREET 2: STE 2 CITY: PLANO STATE: TX ZIP: 75074-0846 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 - X0303 5 2008-12-27 0 0 0 0000350846 SUPREME INDUSTRIES INC STS 0001249462 WHITENER WAYNE A 101 E. PARK BLVD., SUITE 955 PLANO TX 75074 1 0 0 0 Class A Common Stock 2162 D Nonqualified Stock Option 4.86 2009-05-08 2015-05-07 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. Options vest 33% after one year from date of grant; additional 33% two years from date of grant; and the remaining 34% three years from date of grant. Wayne A. Whitener 2009-02-10 -----END PRIVACY-ENHANCED MESSAGE-----