0001179110-17-012692.txt : 20170926 0001179110-17-012692.hdr.sgml : 20170926 20170926105848 ACCESSION NUMBER: 0001179110-17-012692 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160511 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: 171101213 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 2016-05-11 2016-05-12 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 2016-05-11 4 S 0 20000 12.6329 D 170028 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $12.41 to $12.79, inclusive. The reporting person undertakes to provide Supreme Industries, Inc., any security holder of Supreme, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote. 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