0001179110-11-012671.txt : 20110826 0001179110-11-012671.hdr.sgml : 20110826 20110826152658 ACCESSION NUMBER: 0001179110-11-012671 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110826 FILED AS OF DATE: 20110826 DATE AS OF CHANGE: 20110826 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: 1225 BUSINESS ADDRESS: STREET 1: P O BOX 237 STREET 2: 2581 EAST KERCHER ROAD CITY: GOSHEN STATE: IN ZIP: 46528 BUSINESS PHONE: 5746423070 MAIL ADDRESS: STREET 1: P O BOX 237 STREET 2: 2581 EAST KERCHER ROAD CITY: GOSHEN STATE: IN ZIP: 46528 FORMER COMPANY: FORMER CONFORMED NAME: EXPLORATION SURVEYS INC DATE OF NAME CHANGE: 19850813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLYNN EDWARD L CENTRAL INDEX KEY: 0001031599 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08183 FILM NUMBER: 111059720 MAIL ADDRESS: STREET 1: 211 SOMERVILLE ROAD RTE 202N CITY: BEDMINISTER STATE: NJ ZIP: 07921 4 1 edgar.xml FORM 4 - X0304 4 2011-08-26 0 0000350846 SUPREME INDUSTRIES INC STS 0001031599 FLYNN EDWARD L 7511 MYRTLE AVENUE GLENDALE NY 11385 1 0 0 0 Class A Common Stock 199250 D Class A Common Stock 2011-08-26 4 P 0 3000 2.20 A 34624 I By Spouse Nonqualified Stock Option 5.73 2009-01-17 2015-01-16 Class A Common Stock 6487 6487 D Reporting person disclaims beneficial ownership of shares owned by spouse. Currently exercisable. Edward L. Flynn 2011-08-26