| FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 09/27/2017 | 3. Issuer Name and Ticker or Trading Symbol SUPREME INDUSTRIES INC [ STS ] | |||||||||||||
| 4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
| Class A Common Stock, par value $0.10 | 15,595,348 | I | See footnote(1) |
| Class B Common Stock, par value $0.10 | 0(2) | I | See footnote(1) |
| Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Explanation of Responses: |
| 1. The Reporting Person is filing this Form 3 on behalf of itself and Redhawk Acquisition Corporation ("Redhawk"), a Delaware corporation and wholly owned subsidiary of the Reporting Person. The shares of common stock to which this Form 3 relates were acquired by Redhawk on September 27, 2017 (the "Acceptance Time") following the expiration of the offering period for the tender offer for all outstanding shares of Class A common stock and Class B common stock (together, the "Shares") (the "Offer"), and include Shares tendered pursuant to notices of guaranteed delivery. The Offer was made upon the terms and subject to the conditions set forth in the Offer to Purchase, dated August 8, 2017, which was annexed to and filed with the Schedule TO filed by the Reporting Person with the Securities and Exchange Commission on August 8, 2017. |
| 2. Supreme's Class B common stock is convertible into Class A common stock on a one-for-one basis upon the disposition by a holder of Class B Shares. If, at any time, there are less than 300,000 shares of Class B common stock outstanding, all remaining shares shall be deemed automatically converted into the same number of shares of Class A common stock. In connection with the Offer, all shares of Class B common stock shall be automatically converted into the same number of shares of Class A common stock. |
| Remarks: |
| Richard J. Giromini, Chief Executive Officer of Wabash National Corporation | 09/28/2017 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||
