0000879526-17-000030.txt : 20170927 0000879526-17-000030.hdr.sgml : 20170927 20170927165631 ACCESSION NUMBER: 0000879526-17-000030 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170927 FILED AS OF DATE: 20170927 DATE AS OF CHANGE: 20170927 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taylor Jeffery L CENTRAL INDEX KEY: 0001579198 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 171104777 MAIL ADDRESS: STREET 1: 1000 SAGAMORE PARKWAY SOUTH CITY: LAFAYETTE STATE: IN ZIP: 47905 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 3 1 edgar.xml PRIMARY DOCUMENT X0206 3 2017-09-27 1 0000350846 SUPREME INDUSTRIES INC STS 0001579198 Taylor Jeffery L 1000 SAGAMORE PARKWAY SOUTH LAFAYETTE IN 47905 0 1 0 0 Vice President Jeffery L. Taylor 2017-09-27