0001179110-13-008697.txt : 20130520 0001179110-13-008697.hdr.sgml : 20130520 20130520141240 ACCESSION NUMBER: 0001179110-13-008697 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130508 FILED AS OF DATE: 20130520 DATE AS OF CHANGE: 20130520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OIUM MICHAEL L CENTRAL INDEX KEY: 0001577094 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 13857745 MAIL ADDRESS: STREET 1: 2211 JACKSON BLVD CITY: ELKHART STATE: IN ZIP: 46516 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 3 1 edgar.xml FORM 3 - X0206 3 2013-05-08 0 0000350846 SUPREME INDUSTRIES INC STS 0001577094 OIUM MICHAEL L 2581 E. KERCHER ROAD GOSHEN IN 46528 0 1 0 0 Vice President, Operations Class A Common Stock 29287 D Incentive Stock Option 1.42 2015-10-27 Class A Common Stock 10070 D Incentive Stock Option 1.55 2016-06-25 Class A Common Stock 11000 D Incentive Stock Option 2.23 2017-09-30 Class A Common Stock 18000 D Includes restricted stock award of 18,475 shares with vesting to occur 1/3rd on February 19, 2014; an additional 1/3rd on February 19, 2015; and the remaining 1/3rd on February 19, 2016. Currently Exercisable. 2/3rds of option (12,000 shares) are fully exercisable, and remaining 1/3rd of option (6,000 shares) will vest on September 30, 2013. Michael L. Oium 2013-05-20