4//SEC Filing
Barrett Peter D 4
Accession 0001179110-17-012319
CIK 0000350846other
Filed
Sep 13, 8:00 PM ET
Accepted
Sep 14, 9:33 PM ET
Size
10.2 KB
Accession
0001179110-17-012319
Insider Transaction Report
Form 4
Barrett Peter D
Director
Transactions
- Other
Class A Common Stock
2017-09-06−26,700→ 0 total(indirect: By Trust) - Other
Class A Common Stock
2017-09-06+26,700→ 26,700 total(indirect: By Trust)
Holdings
- 33,321
Class A Common Stock
- 29,467
Class B Common Stock
Footnotes (7)
- [F1]Represents shares of Class A common stock of Supreme Industries, Inc., par value $0.10 per share ("Class A Shares"), that were ultimately received in connection with a distribution by an independently controlled limited liability company to its members.
- [F2]Represents Class A Shares held directly by the Peter D. Barrett 2012 Irrevocable Trust (the "Trust"). Peter D. Barrett is the trustee and beneficiary of, and may be deemed to beneficially own securities held by, the Trust.
- [F3]This statement is filed by and on behalf of Peter D. Barrett. Mr. Barrett and the Trust are the direct beneficial owners of the securities covered by this statement.
- [F4]The reporting person states that neither the filing of this statement nor anything herein shall be deemed an admission that such person is, for purposes of Section 16 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise, the beneficial owner of any securities covered by this statement. The reporting person disclaims beneficial ownership of the securities covered by this statement, except to the extent of the pecuniary interest of such person in such securities.
- [F5]Represents Class A Shares that were distributed by the Trust to Mr. Barrett, as the sole beneficiary of the Trust (the "Trust Distribution").
- [F6]Includes all 26,700 Class A Shares that were distributed by the Trust to Mr. Barrett in connection with the Trust Distribution. The acquisition of such Class A Shares by Mr. Barrett in connection with the Trust Distribution constituted a change in the form of beneficial ownership without a change in pecuniary interest that is exempt from Section 16 of the Exchange Act pursuant to Rule 16a-13 thereunder. Rule 16a-9(a) under the Exchange Act may also exempt the acquisition of such Class A Shares by Mr. Barrett in connection with the Trust Distribution from Section 16 of the Exchange Act.
- [F7]Represents shares of Class B common stock of Supreme Industries, Inc., par value $0.10 per share ("Class B Shares"). Class B Shares are freely convertible on a one-to-one basis into an equal number of Class A Shares.
Documents
Issuer
SUPREME INDUSTRIES INC
CIK 0000350846
Entity typeother
Related Parties
1- filerCIK 0001608380
Filing Metadata
- Form type
- 4
- Filed
- Sep 13, 8:00 PM ET
- Accepted
- Sep 14, 9:33 PM ET
- Size
- 10.2 KB