-----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, Ulc3B8WAB4qp35Xw6pW465uptFf7Z9dguks868ao7BSjprASzjVl5zwFmJ+y6or4 YFGD7KsbxzsgFPwe7WVrcw== 0001179110-09-002370.txt : 20090210 0001179110-09-002370.hdr.sgml : 20090210 20090210173047 ACCESSION NUMBER: 0001179110-09-002370 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: GARDNER HERBERT M CENTRAL INDEX KEY: 0000923414 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 09586810 BUSINESS ADDRESS: BUSINESS PHONE: 2125100684 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 - X0303 5 2008-12-27 0 0 0 0000350846 SUPREME INDUSTRIES INC STS 0000923414 GARDNER HERBERT M P O BOX 6199 FAIR HAVEN NJ 07704 1 1 0 0 Chairman of Board and CEO Class A Common Stock 430332 D Class A Common Stock 10447 I By Spouse Class B Common Stock 559869 D Class B Common Stock 63349 I By Spouse Incentive Stock Option (reload) 5.60 2010-04-17 Class A Common Stock 25131 25131 D Incentive Stock Option 6.15 2012-06-05 Class A Common Stock 27030 27030 D Incentive Stock Option (reload) 8.20 2010-10-27 Class A Common Stock 11465 11465 D Incentive Stock Option 6.52 2013-05-03 Class A Common Stock 32436 32436 D Incentive Stock Option (reload) 5.78 2014-04-29 Class A Common Stock 29058 29058 D Incentive Stock Option (reload) 4.86 2015-05-07 Class A Common Stock 30582 30582 D Reporting person disclaims beneficial ownership of shares owned by wife. Currently exercisable. Reflects option adjustments for 2008 stock dividends. Herbert M. Gardner 2009-02-10 -----END PRIVACY-ENHANCED MESSAGE-----