0001179110-11-011714.txt : 20110804
0001179110-11-011714.hdr.sgml : 20110804
20110804153652
ACCESSION NUMBER: 0001179110-11-011714
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110802
FILED AS OF DATE: 20110804
DATE AS OF CHANGE: 20110804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Korth Kim
CENTRAL INDEX KEY: 0001380039
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 111010367
MAIL ADDRESS:
STREET 1: C/O IRN, INC.
STREET 2: 2680 WALKER AVENUE, SUITE A
CITY: GRAND RAPIDS
STATE: MI
ZIP: 49544
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: 1225
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
4
1
edgar.xml
FORM 4 -
X0304
4
2011-08-02
0
0000350846
SUPREME INDUSTRIES INC
STS
0001380039
Korth Kim
2581 EAST KERCHER ROAD
GOSHEN
IN
46528
1
1
0
0
President and CEO
Class A Common Stock
2011-08-02
4
A
0
6269
A
41672
D
Not applicable -- stock award.
Kim Korth
2011-08-04