0001179110-15-014136.txt : 20151020 0001179110-15-014136.hdr.sgml : 20151020 20151020090736 ACCESSION NUMBER: 0001179110-15-014136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151019 FILED AS OF DATE: 20151020 DATE AS OF CHANGE: 20151020 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: OIUM MICHAEL L CENTRAL INDEX KEY: 0001577094 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 151165535 MAIL ADDRESS: STREET 1: 2211 JACKSON BLVD CITY: ELKHART STATE: IN ZIP: 46516 4 1 edgar.xml FORM 4 - X0306 4 2015-10-19 0 0000350846 SUPREME INDUSTRIES INC STS 0001577094 OIUM MICHAEL L 2581 E. KERCHER ROAD GOSHEN IN 46528 0 1 0 0 Vice President, Operations Class A Common Stock 2015-10-19 4 M 0 503 1.35 A 51629 D Class A Common Stock 2015-10-19 4 M 0 550 1.48 A 52179 D Class A Common Stock 2015-10-19 4 M 0 900 2.12 A 53079 D Incentive Stock Option 1.35 2015-10-19 4 M 0 503 0 D 2015-10-27 Class A Common Stock 503 0 D Incentive Stock Options 1.48 2015-10-19 4 M 0 550 0 D 2016-06-25 Class A Common Stock 550 0 D Incentive Stock Option 2.12 2015-10-19 4 M 0 900 0 D 2017-09-30 Class A Common Stock 900 0 D Currently exercisable. /s/ Julia A. Gardner, Attorney-in-Fact for Michael L. Oium 2015-10-20