0001179110-17-012785.txt : 20170929
0001179110-17-012785.hdr.sgml : 20170929
20170929174349
ACCESSION NUMBER: 0001179110-17-012785
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170927
FILED AS OF DATE: 20170929
DATE AS OF CHANGE: 20170929
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARRETT WILLIAM J
CENTRAL INDEX KEY: 0000923415
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 171112563
MAIL ADDRESS:
STREET 1: P O BOX 6199
CITY: FAIR HAVEN
STATE: NJ
ZIP: 07704
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
1
edgar.xml
FORM 4 -
X0306
4
2017-09-27
1
0000350846
SUPREME INDUSTRIES INC
STS
0000923415
BARRETT WILLIAM J
P O BOX 6199
FAIR HAVEN
NJ
07704
1
1
1
0
Exec V P and Secretary
Class A Common Stock
2017-09-27
4
U
0
516802
21.00
D
0
D
Class A Common Stock
2017-09-27
4
U
0
98789
21.00
D
0
I
By Spouse
Class B Common Stock
2017-09-27
4
U
0
885999
21.00
D
0
D
Class B Common Stock
2017-09-27
4
U
0
16857
21.00
D
0
I
By Spouse
Represents Class A common stock of Supreme Industries, Inc. (the "Issuer"), par value $0.10 per share ("Class A Shares"), which were disposed of pursuant to a tender offer (the "Tender Offer") by Redhawk Acquisition Corporation, a wholly owned subsidiary of Wabash National Corporation ("Purchaser"), to purchase all of the issued and outstanding Class A Shares and shares of Class B common stock of the Issuer, par value $0.10 per share ("Class B Shares" and, together with Class A Shares, "Shares"), at a purchase price of $21.00 per Share in cash (the "Offer Price"), as described more fully in the Schedule 14D-9 filed by the Issuer on August 22, 2017, and as subsequently supplemented and amended. All dispositions of Shares by the reporting person in the Tender Offer were approved in advance by the Issuer's Board of Directors.
Includes 13,350 Class A Shares that were ultimately received by William J. Barrett on September 6, 2017, in connection with a distribution by SBB STX, LLC ("SBB STX") of Class A Shares held by SBB STX on a pro rata basis to its direct and indirect owners (the "SBB STX Distribution"). The distribution of such Class A Shares by SBB STX and the subsequent acquisition of such Class A Shares by Mr. Barrett in connection with the SBB STX Distribution constituted a change in the form of beneficial ownership without a change in Mr. Barrett's pecuniary interest that is exempt from Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act") pursuant to Rule 16a-13 thereunder. Rule 16a-9(a) under the Exchange Act may also exempt the acquisition of such Class A Shares by Mr. Barrett in connection with the SBB STX Distribution from Section 16 of the Exchange Act.
This statement is filed by and on behalf of Mr. Barrett. Mr. Barrett and his wife are the direct beneficial owners of the securities covered by this statement.
The reporting person states that neither the filing of this statement nor anything herein shall be deemed an admission that such person is, for purposes of Section 16 of the Exchange Act, or otherwise, the beneficial owner of any securities covered by this statement. The reporting person disclaims beneficial ownership of the securities covered by this statement, except to the extent of the pecuniary interest of such person in such securities.
Includes 13,350 Class A Shares that were ultimately received by Mr. Barrett's wife on September 6, 2017, in connection with the SBB STX Distribution. The acquisition of such Class A Shares by Mr. Barrett's wife in connection with the SBB STX Distribution constituted a change in the form of beneficial ownership without a change in the pecuniary interest of Mr. Barrett's wife that is exempt from Section 16 of the Exchange Act pursuant to Rule 16a-13 thereunder. Rule 16a-9(a) under the Exchange Act may also exempt the acquisition of such Class A Shares by Mr. Barrett's wife in connection with the SBB STX Distribution from Section 16 of the Exchange Act.
Represents Class B Shares which were disposed of pursuant to the Tender Offer at the Offer Price, as described more fully in the Schedule 14D-9 filed by the Issuer on August 22, 2017, and as subsequently supplemented and amended. All dispositions of Shares by the reporting person in the Tender Offer were approved in advance by the Issuer's Board of Directors.
/s/ Julia A. Gardner, Attorney-in-Fact for William J. Barrett
2017-09-29