0001179110-15-005953.txt : 20150403 0001179110-15-005953.hdr.sgml : 20150403 20150403153941 ACCESSION NUMBER: 0001179110-15-005953 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150401 FILED AS OF DATE: 20150403 DATE AS OF CHANGE: 20150403 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: CAMPBELL ROBERT JAMES CENTRAL INDEX KEY: 0001196812 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 15751212 MAIL ADDRESS: STREET 1: JULIE GARDNER STREET 2: 15690 TREASURE COVE CITY: BULLARD STATE: TX ZIP: 25757 4 1 edgar.xml FORM 4 - X0306 4 2015-04-01 0 0000350846 SUPREME INDUSTRIES INC STS 0001196812 CAMPBELL ROBERT JAMES 455 CR 1138 CUMBY TX 75433-6614 1 0 0 0 Class A Common Stock 2015-04-01 4 A 0 886 A 120383 D Class A Common Stock 250 I By Spouse Class B Common Stock 50001 D Not applicable - stock award. Reporting person disclaims ownership of shares owned by spouse. 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/ Julia A.Gardner, Attorney-in-Fact for Robert J.Campbell 2015-04-03