SEC Info - Wabash National Corp. - ‘3’ for 9/27/17 re: Supreme Industries Inc.

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^*

WABASH NATIONAL CORP /DE

(Last)

(First)

(Middle)

1000 SAGAMORE PARKWAY SOUTH

(Street)

LAFAYETTE

47905

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
9/27/17

3. Issuer Name and Ticker or Trading Symbol
SUPREME INDUSTRIES INC [ STS ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

Director	X	10% Owner
Officer (give title below)		Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
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)
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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)

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	9/28/17
	** 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.
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Wabash National Corp. – ‘3’ for 9/27/17 re: Supreme Industries Inc.

On: Thursday, 9/28/17, at 10:11am ET · For: 9/27/17 · Accession #: 879526-17-32 · File #: 1-08183

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Wabash National Corp. – ‘3’ for 9/27/17 re: Supreme Industries Inc.

On: Thursday, 9/28/17, at 10:11am ET · For: 9/27/17 · Accession #: 879526-17-32 · File #: 1-08183

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34Filing Table of Contents

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents