0001179110-17-012695.txt : 20170926 0001179110-17-012695.hdr.sgml : 20170926 20170926110021 ACCESSION NUMBER: 0001179110-17-012695 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170302 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: 171101219 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 2017-03-02 2017-03-06 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 2017-03-02 4 F 0 4225 19.87 D 145803 D Class A Common Stock 2017-03-03 4 F 0 3168 19.84 D 142635 D Class A Common Stock 2017-03-03 4 F 0 1221 19.84 D 141414 D Class A Common Stock 2017-03-03 4 F 0 1958 19.84 D 139456 D Surrender of shares to satisfy tax withholding on the vesting of restricted stock granted on March 2, 2016 under the 2012 Long-Term Incentive Plan. Surrender of shares to satisfy tax withholding on the vesting of restricted stock granted on March 3, 2015 under the 2012 Long-Term Incentive Plan. Surrender of shares to satisfy tax withholding on the vesting of restricted stock granted on March 3, 2015 under the 2012 Long-Term Incentive Plan. Surrender of shares to satisfy tax withholding on the vesting of restricted stock granted on March 3, 2014 under the 2012 Long-Term Incentive Plan. 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