Filing Details

Accession Number:
0001179110-16-029917
Form Type:
4/A
Zero Holdings:
No
Publication Time:
2016-09-21 20:46:10
Reporting Period:
2016-09-15
Filing Date:
2016-09-21
Accepted Time:
2016-09-21 20:46:10
Original Submission Date:
2016-09-19
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
350846 Supreme Industries Inc STS Truck & Bus Bodies (3713) 751670945
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
923415 J William Barrett P O Box 6199
Fair Haven NJ 07704
Exec V P And Secretary Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2016-09-15 12,000 $2.33 525,340 No 4 M Direct
Class A Common Stock Disposition 2016-09-15 1,486 $18.84 523,854 No 4 F Direct
Class A Common Stock Disposition 2016-09-15 25,000 $18.44 133,500 No 4 S Indirect By Grantor Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 F Direct
No 4 S Indirect By Grantor Trust
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Incentive Stock Option Disposition 2016-09-15 12,000 $0.00 12,000 $2.33
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2017-09-30 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 85,439 Indirect By Spouse
Class B Common Stock 885,999 Direct
Class B Common Stock 16,857 Indirect By Spouse
Footnotes
  1. Amendments required due to shares being sold by Grantor Trust.
  2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $18.41 to $18.46, 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
  3. Reporting person disclaims beneficial ownership of shares owned by grantor trust except to the extent of the pecuniary interest owned by the reporting person and his spouse. Reporting person is the trustee of the grantor trust.
  4. Reporting person disclaims beneficial ownership of shares owned by spouse.
  5. Class B Common Stock is freely convertible on a one-for-one basis into an equal number of shares of Class A Common Stock.
  6. All options are currently exercisable.
  7. Not applicable.