0001179110-16-025884.txt : 20160602 0001179110-16-025884.hdr.sgml : 20160602 20160602175824 ACCESSION NUMBER: 0001179110-16-025884 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160525 FILED AS OF DATE: 20160602 DATE AS OF CHANGE: 20160602 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: Klofas Michael L CENTRAL INDEX KEY: 0001676043 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 161693698 MAIL ADDRESS: STREET 1: 64 WINDHAM DRIVE CITY: EAST LONGMEADOW STATE: MA ZIP: 01028 3 1 edgar.xml FORM 3 - X0206 3 2016-05-25 0 0000350846 SUPREME INDUSTRIES INC STS 0001676043 Klofas Michael L 64 WINDHAM DRIVE EAST LONGMEADOW MA 01028 1 0 0 0 No securities beneficially owned. 0 D /s/ Julia A. Gardner, Attorney-in-Fact for Michael L. Klofas 2016-06-02