-----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, EK89K3i9if9+2SMVrSiiCpzUKgnNYqGWhxHWlzw3nu4bcvPMH/uPBnp/kX4pUUKm FINifPg1S7AH+Ti0QVGv/w== 0001179110-09-010209.txt : 20090629 0001179110-09-010209.hdr.sgml : 20090629 20090629173330 ACCESSION NUMBER: 0001179110-09-010209 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090626 FILED AS OF DATE: 20090629 DATE AS OF CHANGE: 20090629 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: GARDNER HERBERT M CENTRAL INDEX KEY: 0000923414 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 09917359 MAIL ADDRESS: STREET 1: P O BOX 6199 CITY: FAIR HAVEN STATE: NJ ZIP: 07704 4 1 edgar.xml FORM 4 - X0303 4 2009-06-26 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 2006-04-18 2010-04-17 Class A Common Stock 25131 25131 D Incentive Stock Option 6.15 2006-06-06 2010-06-05 Class A Common Stock 27030 27030 D Incentive Stock Option (Reload) 8.20 2006-10-27 2010-10-27 Class A Common Stock 11465 11465 D Incentive Stock Option 6.52 2007-05-04 2013-05-03 Class A Common Stock 32436 32436 D Incentive Stock Option (Reload) 5.78 2008-04-29 2014-04-29 Class A Common Stock 29058 29058 D Incentive Stock Option (Reload) 4.86 2008-05-08 2015-05-07 Class A Commmon Stock 30582 30582 D Incentive Stock Option 1.55 2009-06-26 4 A 0 15000 A 2010-06-26 2016-06-26 Class A Commmon Stock 15000 15000 D Reporting person disclaims beneficial ownership of shares owned by spouse. Currently exercisable. Stock options are exercisable as follows: 33% exercisable after one year from date of grant; additional 33% after two years from date of grant; and remaining 34% exercisable three years from date of grant. Not applicable. Herbert M. Gardner 2009-06-29 -----END PRIVACY-ENHANCED MESSAGE-----