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