0001179110-17-012694.txt : 20170926 0001179110-17-012694.hdr.sgml : 20170926 20170926105947 ACCESSION NUMBER: 0001179110-17-012694 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160728 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: 171101218 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 2016-07-28 2016-08-01 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 2016-07-28 4 S 0 10000 16.78 D 150028 D Amendment required to reflect that there was no sale of 10,000 Class A shares on July 29, 2016, and to correct the total amount of securities beneficially owned. /s/ Julia A. Gardner, Attorney-in-Fact for Mark D. Weber 2017-09-26