0001179110-16-029799.txt : 20160919
0001179110-16-029799.hdr.sgml : 20160919
20160919162723
ACCESSION NUMBER: 0001179110-16-029799
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160915
FILED AS OF DATE: 20160919
DATE AS OF CHANGE: 20160919
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: BARRETT WILLIAM J
CENTRAL INDEX KEY: 0000923415
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 161892027
MAIL ADDRESS:
STREET 1: P O BOX 6199
CITY: FAIR HAVEN
STATE: NJ
ZIP: 07704
4
1
edgar.xml
FORM 4 -
X0306
4
2016-09-15
0
0000350846
SUPREME INDUSTRIES INC
STS
0000923415
BARRETT WILLIAM J
P O BOX 6199
FAIR HAVEN
NJ
07704
1
1
1
0
Exec V P and Secretary
Class A Common Stock
2016-09-15
4
M
0
12000
2.33
A
483340
D
Class A Common Stock
2016-09-15
4
F
0
1486
18.84
D
481854
D
Class A Common Stock
2016-09-15
4
S
0
25000
18.436
D
456854
D
Class A Common Stock
158500
I
By Grantor Trust
Class A Common Stock
85439
I
By Spouse
Class B Common Stock
885999
D
Class B Common Stock
16857
I
By Spouse
Incentive Stock Option
2.33
2016-09-15
4
M
0
12000
D
2017-09-30
Class A Common Stock
12000
0
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.41 to $18.46, 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 grantor trust except to the extent of the pecuniary interest owned by the reporting person and his spouse. Reporting person is the trustee of the grantor trust.
Reporting person disclaims beneficial 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.
All options are currently exercisable.
Not applicable.
/s/ Julia A. Gardner, Attorney-in-Fact for William J. Barrett
2016-09-19