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