-----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, TXQdlAYcwLosUAQYD4TJLPkJHq5yRSj12RSPkb8ThheizrNQWPurANBzgd7miKFp o/ZoK4QFCNnR2pq0lv4kzQ== 0001179110-09-013466.txt : 20090921 0001179110-09-013466.hdr.sgml : 20090921 20090921172453 ACCESSION NUMBER: 0001179110-09-013466 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090921 FILED AS OF DATE: 20090921 DATE AS OF CHANGE: 20090921 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 091079495 MAIL ADDRESS: STREET 1: 211 SOMERVILLE ROAD RTE 202N CITY: BEDMINISTER STATE: NJ ZIP: 07921 4 1 edgar.xml FORM 4 - X0303 4 2009-09-21 0 0000350846 SUPREME INDUSTRIES INC STS 0001031599 FLYNN EDWARD L 7511 MYRTLE AVENUE GLENDALE NY 11385 1 0 0 0 Class A Common Stock 2009-09-21 4 P 0 5000 2.468 A 176708 D Class A Common Stock 21624 I By Spouse Nonqualified Stock Option 5.73 2009-01-17 2015-01-16 Class A Common Stock 6487 6487 D Reporting person disclaims beneficial ownership of shares owned by spouse. Currently exercisable. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.44 to $2.50, inclusive. The reporting person undertakes to provide Supreme Industries, Inc., any security holder of Supreme Industries, Inc., or the staff of the SEC, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote. Edward L. Flynn 2009-09-21 -----END PRIVACY-ENHANCED MESSAGE-----