0001179110-16-029365.txt : 20160906
0001179110-16-029365.hdr.sgml : 20160906
20160906204724
ACCESSION NUMBER: 0001179110-16-029365
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160906
FILED AS OF DATE: 20160906
DATE AS OF CHANGE: 20160906
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NEILSON MARK C
CENTRAL INDEX KEY: 0001251089
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 161872066
MAIL ADDRESS:
STREET 1: 1361 BRIDGEWATER WAY
CITY: MISHAWAKA
STATE: IN
ZIP: 46545
4
1
edgar.xml
FORM 4 -
X0306
4
2016-09-06
0
0000350846
SUPREME INDUSTRIES INC
STS
0001251089
NEILSON MARK C
7140 CALABRIA COURT
SAN DIEGO
CA
92122
1
0
0
0
Class A CommonStock
2016-09-06
4
S
0
33194
17.16
D
67534
D
The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $17.00 to $17.40, 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 sold at each separate price within the ranges set forth in this footnote
Includes 10,000 shares owned by Reporting Persons IRA.
/s/ Julia A. Gardner, Attorney-in-Fact for Mark C. Neilson
2016-09-06