0001179110-17-005638.txt : 20170404 0001179110-17-005638.hdr.sgml : 20170404 20170404175821 ACCESSION NUMBER: 0001179110-17-005638 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170403 FILED AS OF DATE: 20170404 DATE AS OF CHANGE: 20170404 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 463 STREET 2: 2581 EAST KERCHER ROAD CITY: GOSHEN STATE: IN ZIP: 46528 BUSINESS PHONE: 5746423070 MAIL ADDRESS: STREET 1: P O BOX 463 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: 17740024 MAIL ADDRESS: STREET 1: 64 WINDHAM DRIVE CITY: EAST LONGMEADOW STATE: MA ZIP: 01028 4 1 edgar.xml FORM 4 - X0306 4 2017-04-03 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 2017-04-03 4 A 0 494 A 1492 D Not applicable - stock award. Julia A. Gardner, Attorney-in-Fact for Michael L. Klofas 2017-04-04