0001179110-12-017396.txt : 20121212
0001179110-12-017396.hdr.sgml : 20121212
20121212154907
ACCESSION NUMBER: 0001179110-12-017396
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121210
FILED AS OF DATE: 20121212
DATE AS OF CHANGE: 20121212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hogan Thomas B. Jr.
CENTRAL INDEX KEY: 0001483285
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 121259149
MAIL ADDRESS:
STREET 1: 830 BERGEN AVENUE
CITY: JERSEY CITY
STATE: NJ
ZIP: 07306
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: 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
4
1
edgar.xml
FORM 4 -
X0306
4
2012-12-10
0
0000350846
SUPREME INDUSTRIES INC
STS
0001483285
Hogan Thomas B. Jr.
46 SHREWSBURY DRIVE
RUMSON
NJ
07760
1
0
0
0
Class A Common Stock
2012-12-10
4
P
0
2200
3.39
A
3400
D
Includes 200 shares held in IRA account.
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $3.37 to $$3.45, inclusive. The reporting person undertakes to provide Supreme Industries Inc., any security holder of Supreme, or the staff of the SEC, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote.
Thomas B. Hogan, Jr.
2012-12-12