0001179110-14-008736.txt : 20140519 0001179110-14-008736.hdr.sgml : 20140519 20140519154456 ACCESSION NUMBER: 0001179110-14-008736 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140507 FILED AS OF DATE: 20140519 DATE AS OF CHANGE: 20140519 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 Peter D CENTRAL INDEX KEY: 0001608380 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 14854525 MAIL ADDRESS: STREET 1: 1229 RIDGEDALE CITY: SOUTH BEND STATE: IN ZIP: 46614 3 1 edgar.xml FORM 3 - X0206 3 2014-05-07 0 0000350846 SUPREME INDUSTRIES INC STS 0001608380 Barrett Peter D 2581 EAST KERCHER ROAD GOSHEN IN 46528 1 0 0 0 Class A Common Stock 17866 D Class B Common Stock 29467 D Reporting person shares voting power of 6,485 shares with his spouse and children. Class B Common Stock is freely convertible on a one-for-one basis into an equal number of shares of Class A Common Stock. /s/ Peter D. Barrett 2014-05-19