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