0001179110-14-015011.txt : 20141003 0001179110-14-015011.hdr.sgml : 20141003 20141003143425 ACCESSION NUMBER: 0001179110-14-015011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141001 FILED AS OF DATE: 20141003 DATE AS OF CHANGE: 20141003 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: FLYNN EDWARD L CENTRAL INDEX KEY: 0001031599 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 141139376 MAIL ADDRESS: STREET 1: 211 SOMERVILLE ROAD RTE 202N CITY: BEDMINISTER STATE: NJ ZIP: 07921 4 1 edgar.xml FORM 4 - X0306 4 2014-10-01 0 0000350846 SUPREME INDUSTRIES INC STS 0001031599 FLYNN EDWARD L 7511 MYRTLE AVENUE GLENDALE NY 11385 1 0 0 0 Class A Common Stock 2014-10-01 4 A 0 880 A 269416 D Class A Common Stock 39505 I By Spouse Nonqualified Stock Option 5.46 2009-01-17 2015-01-16 Class A Common Stock 6811 6811 D Not applicable - stock award. Reporting person disclaims beneficial ownership of shares owned by spouse. Currently all vested and exercisable /s/ Julia A. Gardner, Attorney-in-Fact for Edward L. Flynn 2014-10-03