0001179110-16-030432.txt : 20161005 0001179110-16-030432.hdr.sgml : 20161005 20161005123157 ACCESSION NUMBER: 0001179110-16-030432 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 161921810 MAIL ADDRESS: STREET 1: 64 WINDHAM DRIVE CITY: EAST LONGMEADOW STATE: MA ZIP: 01028 4 1 edgar.xml FORM 4 - X0306 4 2016-10-03 0 0000350846 SUPREME INDUSTRIES INC STS 0001676043 Klofas Michael L 64 WINDHAM DRIVE EAST LONGMEADOW MA 01028 1 0 0 0 Class A Common Stock 2016-10-03 4 A 0 356 A 560 D Not applicable - stock award. Julia A. Gardner, Attorney-in-Fact for Michael L. Klofas 2016-10-05