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