0001179110-12-018230.txt : 20121226
0001179110-12-018230.hdr.sgml : 20121226
20121226185543
ACCESSION NUMBER: 0001179110-12-018230
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: CAMPBELL ROBERT JAMES
CENTRAL INDEX KEY: 0001196812
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 121286036
MAIL ADDRESS:
STREET 1: JULIE GARDNER
STREET 2: 15690 TREASURE COVE
CITY: BULLARD
STATE: TX
ZIP: 25757
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
0001196812
CAMPBELL ROBERT JAMES
15690 TREASURE COVE
BULLARD
TX
75757
1
0
0
0
Class A Common Stock
2012-12-21
4
A
0
3873
A
103741
D
Class A Common Stock
443
I
By Spouse
Class B Common Stock
47620
D
Reporting Person disclaims beneficial ownership of shares owned by Spouse.
Not applicable -- stock grant.
Robert J. Campbell
2012-12-26