SEC Form 4 · accession 0001179110-15-000818
SUPREME INDUSTRIES INC · STS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael L Oium
Officer — Vice President, Operations
Period of report
Jan 8, 2015
Accepted (ET)
Jan 12, 2015 · 6:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000350846
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Jan 8, 2015 | M | 1,086 | $1.35 | A | 41,726 | D | |
| Class A Common StockF1 | Jan 8, 2015 | S | 1,086 | $7.501 | D | 40,640 | D | |
| Class A Common Stock | Jan 8, 2015 | M | 560 | $1.48 | A | 41,200 | D | |
| Class A Common StockF2 | Jan 8, 2015 | S | 560 | $7.51 | D | 40,640 | D | |
| Class A Common Stock | Jan 9, 2015 | M | 3,141 | $1.48 | A | 43,781 | D | |
| Class A Common StockF3 | Jan 9, 2015 | S | 3,141 | $7.594 | D | 40,640 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Incentive Stock OptionF4 | $1.35 | Jan 8, 2015 | M | 1,086 | D | — | Oct 27, 2015 | Class A Common Stock | 1,086 | 503 | D |
| Incentive Stock OptionF4 | $1.48 | Jan 8, 2015 | M | 560 | D | — | Jun 25, 2016 | Class A Common Stock | 560 | 10,990 | D |
| Incentive Stock OptionsF4 | $1.48 | Jan 9, 2015 | M | 3,141 | D | — | Jun 25, 2016 | Class A Common Stock | 3,141 | 7,849 | D |
| Incentive Stock OptionF4 | $2.12 | holding | — | — | — | — | Sep 30, 2017 | Class A Common Stock | 18,900 | 18,900 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $7.50 to $7.513, 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.
- F2The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $7.51 to $7.513, 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.
- F3The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $7.50 to $7.663, 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.
- F4Currently exercisable.