0001179110-16-028499.txt : 20160810
0001179110-16-028499.hdr.sgml : 20160810
20160810094826
ACCESSION NUMBER: 0001179110-16-028499
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160808
FILED AS OF DATE: 20160810
DATE AS OF CHANGE: 20160810
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: GARDNER HERBERT M
CENTRAL INDEX KEY: 0000923414
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 161820222
MAIL ADDRESS:
STREET 1: P O BOX 6199
CITY: FAIR HAVEN
STATE: NJ
ZIP: 07704
4
1
edgar.xml
FORM 4 -
X0306
4
2016-08-08
0
0000350846
SUPREME INDUSTRIES INC
STS
0000923414
GARDNER HERBERT M
P O BOX 463
WADING RIVER
NY
11792
1
1
0
0
Chairman of Board
Class A Common Stock
2016-08-08
4
S
0
3580
16.00
D
356548
D
Class A Common Stock
2016-08-09
4
S
0
399
16.00
D
356149
D
Class A Common Stock
10969
I
By GST U/W/O Mary K. Gardner
Class B Common Stock
587862
D
Class B Common Stock
66516
I
By GST U/W/O Mary K. Gardner
Incentive Stock Option
2.12
2017-09-30
Class A Common Stock
31500
31500
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.00 to $16.01, inclusive. The reporting person undertakes to provide Supreme Industries, Inc., any security holder of Supreme, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote
Reporting Person disclaims beneficial ownership of shares owned by the Generation Skipping Marital Trust U/W/O Mary K. Gardner, of which the Reporting Person is a Co-Trustee.
Class B Common Stock is freely convertible on a one-for-one basis into an equal number of shares of Class A Common Stock.
All options are currently exercisable.
/s/ Julia A. Gardner, Attorney-in-Fact for Herbert M. Gardner
2016-08-10