0001179110-15-010695.txt : 20150702 0001179110-15-010695.hdr.sgml : 20150702 20150702121134 ACCESSION NUMBER: 0001179110-15-010695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150701 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 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: Gajarsa Arthur J CENTRAL INDEX KEY: 0001553894 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 15968036 MAIL ADDRESS: STREET 1: P O BOX 226 CITY: HOLDERNESS STATE: NH ZIP: 03245 4 1 edgar.xml FORM 4 - X0306 4 2015-07-01 0 0000350846 SUPREME INDUSTRIES INC STS 0001553894 Gajarsa Arthur J P O BOX 226 HOLDERNESS NH 03245 1 0 0 0 Class A Common Stock 2015-07-01 4 A 0 802 A 36174 D Not applicable - stock grant. /s/ Julia A. Gardner, Attorney-in-Fact for Arthur J. Gajarsa 2015-07-02