0001179110-15-005203.txt : 20150318 0001179110-15-005203.hdr.sgml : 20150318 20150318192638 ACCESSION NUMBER: 0001179110-15-005203 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150316 FILED AS OF DATE: 20150318 DATE AS OF CHANGE: 20150318 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: NEILSON MARK C CENTRAL INDEX KEY: 0001251089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 15711364 MAIL ADDRESS: STREET 1: 1361 BRIDGEWATER WAY CITY: MISHAWAKA STATE: IN ZIP: 46545 4 1 edgar.xml FORM 4 - X0306 4 2015-03-16 0 0000350846 SUPREME INDUSTRIES INC STS 0001251089 NEILSON MARK C 7140 CALABRIA COURT SAN DIEGO CA 92122 1 0 0 0 Class A Common Stock 2015-03-16 4 M 0 5351 4.63 A 114045 D Class A CommonStock 2015-03-16 4 F 0 3114 7.95 D 110931 D Nonqualified Stock Option 4.63 2015-03-16 4 M 0 5351 D 2015-05-07 Class A Common Stock 5351 0 D Includes 43,194 shares owned by Reporting Persons IRA All currently exercisable. Not applicable. /s/ Julia A. Gardner, Attorney-in-Fact for Mark C. Neilson 2015-03-18