0001179110-17-000344.txt : 20170104
0001179110-17-000344.hdr.sgml : 20170104
20170104180936
ACCESSION NUMBER: 0001179110-17-000344
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170103
FILED AS OF DATE: 20170104
DATE AS OF CHANGE: 20170104
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: Hogan Thomas B. Jr.
CENTRAL INDEX KEY: 0001483285
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08183
FILM NUMBER: 17507582
MAIL ADDRESS:
STREET 1: 830 BERGEN AVENUE
CITY: JERSEY CITY
STATE: NJ
ZIP: 07306
4
1
edgar.xml
FORM 4 -
X0306
4
2017-01-03
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
2017-01-03
4
A
0
438
A
13358
D
Not applicable - stock grant.
Includes 200 shares held in IRA.
/s/ Julia A. Gardner, Attorney-in-Fact for Thomas B. Hogan, Jr.
2017-01-04