-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JMoy/fabR4slWq4ICu1zayXr0lMwOR/msNrN/1uCGXsJTWo23d7WDRU4ujpJ+qzj GJElR3LsBNTMVHsS2DHH+w== 0000021212-04-000020.txt : 20040206 0000021212-04-000020.hdr.sgml : 20040206 20040206142348 ACCESSION NUMBER: 0000021212-04-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040205 FILED AS OF DATE: 20040206 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COACHMEN INDUSTRIES INC CENTRAL INDEX KEY: 0000021212 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR HOMES [3716] IRS NUMBER: 351101097 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46514 BUSINESS PHONE: 5742620123 MAIL ADDRESS: STREET 1: PO BOX 3300 STREET 2: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SKINNER CLAIRE C CENTRAL INDEX KEY: 0001215515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 04573452 BUSINESS ADDRESS: STREET 1: P O BOX 3300 CITY: ELKHART STATE: IN ZIP: 465153300 MAIL ADDRESS: STREET 1: P O BOX 3300 CITY: ELKHART STATE: IN ZIP: 465153300 4 1 ski487.xml X0201 4 2004-02-05 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215515 SKINNER CLAIRE C P O BOX 3300 ELKHART IN 46515 1 1 0 0 Chairman and CEO Common Stock 200791.0000 D Common Stock 231.0000 I By 401(k) Common Stock 40642.0000 I By Spouse Common Stock 118.0000 I By Spouse 401(k) Stock Units 0.00 2004-02-05 4 D 0 1128.2495 0 D 1988-08-08 1988-08-08 Common Stock 1128.2495 0.0000 I By Spouse Deferred Compensation Plan Stock Option (Right to Buy) 10.00 2001-10-06 2010-10-06 Common Stock 50000.0000 50000.0000 D Stock Option (Right to Buy) 16.50 2003-02-19 2012-02-19 Common Stock 8000.0000 8000.0000 D Stock Option (Right to Buy) 11.18 2004-03-28 2013-03-28 Common Stock 2000.0000 2000.0000 D Stock Units 0.00 1988-08-08 1988-08-08 Common Stock 3729.7074 3729.7074 I By Deferred Compensation Plan Distribution of stock units for cash under the Coachmen Industries, Inc. Deferred Compensation Plan By: Melanie A. DeMorrow as Attorney-in-fact 2004-02-06 -----END PRIVACY-ENHANCED MESSAGE-----