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