0001179110-14-007106.txt : 20140424
0001179110-14-007106.hdr.sgml : 20140424
20140424205350
ACCESSION NUMBER: 0001179110-14-007106
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140422
FILED AS OF DATE: 20140424
DATE AS OF CHANGE: 20140424
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: BARRETT WILLIAM J
CENTRAL INDEX KEY: 0000923415
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 14782867
MAIL ADDRESS:
STREET 1: P O BOX 6199
CITY: FAIR HAVEN
STATE: NJ
ZIP: 07704
4
1
edgar.xml
FORM 4 -
X0306
4
2014-04-22
0
0000350846
SUPREME INDUSTRIES INC
STS
0000923415
BARRETT WILLIAM J
P O BOX 6199
FAIR HAVEN
NJ
07704
1
1
1
0
Exec V P and Secretary
Class A Common Stock
2014-04-22
4
M
0
33566
6.0562
A
616500
D
Class A Common Stock
178500
I
By Grantor Trust
Class A Common Stock
115439
I
By Spouse
Class B Common Stock
885999
D
Class B Common Stock
16857
I
By Spouse
Incentive Stock Option (Reload)
6.0562
2014-04-22
4
M
0
33566
203280
D
2014-04-25
Class A Common
33566
0
D
Incentive Stock Option (Reload)
5.09
2015-05-07
Class A Common
35323
35323
D
Incentive Stock Option
1.63
2016-06-25
Class A Common Stock
15750
15750
D
Incentive Stock Option
2.33
2017-09-30
Class A Common Stock
31500
31500
D
Reporting Person disclaims beneficial ownership of shares owned by spouse.
Adjusted for five percent stock dividend paid to all stockholders of record on June 3, 2013.
Reporting person disclaims beneficial ownership of shares owned by grantor trust except to the extent of his and his spouse pecuniary interest therein. Reporting person is the trustee of the grantor trust.
Currently exercisable.
/s/ William J. Barrett
2014-04-24