0001179110-17-000343.txt : 20170104
0001179110-17-000343.hdr.sgml : 20170104
20170104180841
ACCESSION NUMBER: 0001179110-17-000343
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: Klofas Michael L
CENTRAL INDEX KEY: 0001676043
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 17507577
MAIL ADDRESS:
STREET 1: 64 WINDHAM DRIVE
CITY: EAST LONGMEADOW
STATE: MA
ZIP: 01028
4
1
edgar.xml
FORM 4 -
X0306
4
2017-01-03
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
2017-01-03
4
A
0
438
A
998
D
Not applicable - stock award.
Julia A. Gardner, Attorney-in-Fact for Michael L. Klofas
2017-01-04