0001179110-17-000340.txt : 20170104 0001179110-17-000340.hdr.sgml : 20170104 20170104180620 ACCESSION NUMBER: 0001179110-17-000340 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170104 DATE AS OF CHANGE: 20170104 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: WHITENER WAYNE A CENTRAL INDEX KEY: 0001249462 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 17507557 MAIL ADDRESS: STREET 1: 101 E. PARK BLVD. STE 955 CITY: PLANO STATE: TX ZIP: 75074-0846 4 1 edgar.xml FORM 4 - X0306 4 2017-01-03 0 0000350846 SUPREME INDUSTRIES INC STS 0001249462 WHITENER WAYNE A 101 E. PARK BLVD., SUITE 955 PLANO TX 75074 1 0 0 0 Class A Common Stock 2017-01-03 4 A 0 438 A 4705 D Not applicable - stock grant. /s/ Julia A.Gardner, Attorney-in-Fact for Wayne A. Whitener 2017-01-04