0001179110-17-012691.txt : 20170926
0001179110-17-012691.hdr.sgml : 20170926
20170926105814
ACCESSION NUMBER: 0001179110-17-012691
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160506
FILED AS OF DATE: 20170926
DATE AS OF CHANGE: 20170926
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WEBER MARK
CENTRAL INDEX KEY: 0001302928
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 171101211
MAIL ADDRESS:
STREET 1: 2581 EAST KERCHER ROAD
CITY: GOSHEN
STATE: IN
ZIP: 46528
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: 2581 EAST KERCHER ROAD
CITY: GOSHEN
STATE: IN
ZIP: 46528
BUSINESS PHONE: 5746423070
MAIL ADDRESS:
STREET 1: 2581 EAST KERCHER ROAD
CITY: GOSHEN
STATE: IN
ZIP: 46528
FORMER COMPANY:
FORMER CONFORMED NAME: EXPLORATION SURVEYS INC
DATE OF NAME CHANGE: 19850813
4/A
1
edgar.xml
FORM 4/A -
X0306
4/A
2016-05-06
2016-05-10
0
0000350846
SUPREME INDUSTRIES INC
STS
0001302928
WEBER MARK
2581 EAST KERCHER ROAD
GOSHEN
IN
46528
1
1
0
0
President and CEO
Class A Common Stock
2016-05-06
4
F
0
8641
12.43
D
190028
D
Surrender of shares to satisfy tax withholding obligation on the vesting of restricted stock granted on May 6, 2013.
Amendment required to reflect accurate total amount of securities beneficially owned.
/s/ Julia A. Gardner, Attorney-in-Fact for Mark D. Weber
2017-09-26