0001179110-12-018229.txt : 20121226
0001179110-12-018229.hdr.sgml : 20121226
20121226185427
ACCESSION NUMBER: 0001179110-12-018229
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121221
FILED AS OF DATE: 20121226
DATE AS OF CHANGE: 20121226
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gajarsa Arthur J
CENTRAL INDEX KEY: 0001553894
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 121286034
MAIL ADDRESS:
STREET 1: P O BOX 226
CITY: HOLDERNESS
STATE: NH
ZIP: 03245
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
4
1
edgar.xml
FORM 4 -
X0306
4
2012-12-21
0
0000350846
SUPREME INDUSTRIES INC
STS
0001553894
Gajarsa Arthur J
P O BOX 226
HOLDERNESS
NH
03245
1
0
0
0
Class A Common Stock
2012-12-21
4
A
0
3873
A
10873
D
Not applicable - stock grant.
Arthur J. Gajarsa
2012-12-26