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