0001179110-16-029937.txt : 20160922 0001179110-16-029937.hdr.sgml : 20160922 20160922172604 ACCESSION NUMBER: 0001179110-16-029937 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160921 FILED AS OF DATE: 20160922 DATE AS OF CHANGE: 20160922 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: NEILSON MARK C CENTRAL INDEX KEY: 0001251089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 161898241 MAIL ADDRESS: STREET 1: 1361 BRIDGEWATER WAY CITY: MISHAWAKA STATE: IN ZIP: 46545 4 1 edgar.xml FORM 4 - X0306 4 2016-09-21 0 0000350846 SUPREME INDUSTRIES INC STS 0001251089 NEILSON MARK C 7140 CALABRIA COURT SAN DIEGO CA 92122 1 0 0 0 Class A CommonStock 2016-09-21 4 S 0 12600 18.15 D 44934 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.13 to $18.22, 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. /s/ Julia A. Gardner, Attorney-in-Fact for Mark C. Neilson 2016-09-22