SEC Form 4 · accession 0001179110-15-014136

SUPREME INDUSTRIES INC · STS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Vice President, Operations

Period of report

Oct 19, 2015

Accepted (ET)

Oct 20, 2015 · 9:07 am EDT

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
Class A Common Stock	Oct 19, 2015	M	503	$1.35	A	51,629	D
Class A Common Stock	Oct 19, 2015	M	550	$1.48	A	52,179	D
Class A Common Stock	Oct 19, 2015	M	900	$2.12	A	53,079	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Incentive Stock Option^F1	$1.35	Oct 19, 2015	M	503	D	—	Oct 27, 2015	Class A Common Stock	503	D
Incentive Stock Options^F1	$1.48	Oct 19, 2015	M	550	D	—	Jun 25, 2016	Class A Common Stock	550	D
Incentive Stock Option^F1	$2.12	Oct 19, 2015	M	900	D	—	Sep 30, 2017	Class A Common Stock	900	D