0001179110-16-017448.txt : 20160106
0001179110-16-017448.hdr.sgml : 20160106
20160106194157
ACCESSION NUMBER: 0001179110-16-017448
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160105
FILED AS OF DATE: 20160106
DATE AS OF CHANGE: 20160106
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: 161328489
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
2016-01-05
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
2016-01-05
4
A
0
1004
A
123014
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
2016-01-06