0001179110-14-007025.txt : 20140422
0001179110-14-007025.hdr.sgml : 20140422
20140422125942
ACCESSION NUMBER: 0001179110-14-007025
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140418
FILED AS OF DATE: 20140422
DATE AS OF CHANGE: 20140422
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: GARDNER HERBERT M
CENTRAL INDEX KEY: 0000923414
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 14775790
MAIL ADDRESS:
STREET 1: P O BOX 6199
CITY: FAIR HAVEN
STATE: NJ
ZIP: 07704
4
1
edgar.xml
FORM 4 -
X0306
4
2014-04-18
0
0000350846
SUPREME INDUSTRIES INC
STS
0000923414
GARDNER HERBERT M
P O BOX 463
WADING RIVER
NY
11792
1
1
0
0
Chairman of Board
Class A Common Stock
2014-04-18
4
M
0
30510
5.5054
A
405860
D
Class A Common Stock
2014-04-18
4
F
0
19241
8.73
D
386619
D
Class A Common Stock
10969
I
By Estate of Wife
Class B Common Stock
587862
D
Class B Common Stock
66516
I
By Estate of Wife
Incentive Stock Option (reload)
5.5054
2014-04-18
4
M
0
30510
167970
D
2014-04-25
Class A Common Stock
30510
0
D
Incentive Stock Option (reload)
4.62
2015-05-07
Class A Commmon Stock
32111
32111
D
Incentive Stock Option
1.48
2016-06-25
Class A Common Stock
15750
15750
D
Incentive Stock Option
2.12
2017-09-30
Class A Common Stock
31500
31500
D
Reporting person disclaims beneficial ownership of shares owned by the estate of Mary Gardner.
Adjusted for five percent stock dividend paid to all stockholders of record on June 3, 2013.
Currently exercisable.
/s/ Herbert M. Gardner
2014-04-22