0001567619-23-001138.txt : 20230123 0001567619-23-001138.hdr.sgml : 20230123 20230123162220 ACCESSION NUMBER: 0001567619-23-001138 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221105 FILED AS OF DATE: 20230123 DATE AS OF CHANGE: 20230123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TREXLER TERRY EARL CENTRAL INDEX KEY: 0000922859 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-06506 FILM NUMBER: 23544742 MAIL ADDRESS: STREET 1: P O BOX 240 CITY: JACKSONVILLE STATE: FL ZIP: 32201 FORMER NAME: FORMER CONFORMED NAME: TERRY EARL TREXLER DATE OF NAME CHANGE: 19940506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NOBILITY HOMES INC CENTRAL INDEX KEY: 0000072205 STANDARD INDUSTRIAL CLASSIFICATION: MOBILE HOMES [2451] IRS NUMBER: 591166102 STATE OF INCORPORATION: FL FISCAL YEAR END: 1103 BUSINESS ADDRESS: STREET 1: 3741 S W 7TH ST CITY: OCALA STATE: FL ZIP: 34474 BUSINESS PHONE: 3527325157 MAIL ADDRESS: STREET 1: 3741 SW 7TH STREET CITY: OCALA STATE: FL ZIP: 34474 5 1 doc1.xml FORM 5 X0306 5 2022-11-05 0 0 0 0000072205 NOBILITY HOMES INC NOBH 0000922859 TREXLER TERRY EARL 3741 S W 7TH STREET OCALA FL 34474 1 1 1 0 President & CEO Common Stock 2022-03-02 5 G 0 2040 0 D 0 I By Trust for the benefit of Grandchild Common Stock 1780535 I By Revocable Trust Common Stock 2040 D Gift without consideration. Mr. Trexler is the 100% beneficial owner of this trust. Mr. Trexler is the Trustee of the Trust. These shares are held in the Issuer's 401(k) plan. /s/ Terry E. Trexler 2023-01-23