0001179110-12-018006.txt : 20121219
0001179110-12-018006.hdr.sgml : 20121219
20121219194751
ACCESSION NUMBER: 0001179110-12-018006
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121217
FILED AS OF DATE: 20121219
DATE AS OF CHANGE: 20121219
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: 121275651
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
2012-12-17
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
2012-12-17
4
P
0
3000
3.40
A
6400
D
Includes 200 shares held in IRA account.
Thomas B. Hogan, Jr.
2012-12-19