0001179110-16-029876.txt : 20160920
0001179110-16-029876.hdr.sgml : 20160920
20160920191517
ACCESSION NUMBER: 0001179110-16-029876
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160916
FILED AS OF DATE: 20160920
DATE AS OF CHANGE: 20160920
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 Peter D
CENTRAL INDEX KEY: 0001608380
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 161894746
MAIL ADDRESS:
STREET 1: 1229 RIDGEDALE
CITY: SOUTH BEND
STATE: IN
ZIP: 46614
4
1
edgar.xml
FORM 4 -
X0306
4
2016-09-16
0
0000350846
SUPREME INDUSTRIES INC
STS
0001608380
Barrett Peter D
2581 EAST KERCHER ROAD
GOSHEN
IN
46528
1
0
0
0
Class A Common Stock
2016-09-16
4
S
0
8850
19.1604
D
4725
D
Class B Common Stock
29467
D
Reporting person shares voting power over 6,485 shares of the total shares sold with his spouse and children.
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $19.05 to $19.55, 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.
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 Peter D. Barrett
2016-09-20