-----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, EqDsO5fBDktajkg9NOM1gMBYuGRIGOk4TMgOnd0QRjoacF3+WOnJ+mzU2MLCLC+X 0CMp6ay5lb3uNs+rqSGd4Q== 0000021212-04-000045.txt : 20040330 0000021212-04-000045.hdr.sgml : 20040330 20040330120745 ACCESSION NUMBER: 0000021212-04-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040329 FILED AS OF DATE: 20040330 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOMCZAK JOSEPH P CENTRAL INDEX KEY: 0001215513 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 04699040 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 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 4 1 tom499.xml X0201 4 2004-03-29 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215513 TOMCZAK JOSEPH P P O BOX 3300 ELKHART IN 46515 0 1 0 0 Exec. VP & CFO Common Stock 2004-03-29 4 A 0 7200 0 A 18367.8683 D Common Stock 131.0000 I By 401(k) Restricted Stock Grant 0.00 2002-07-02 2004-07-02 Common Stock 1500.0000 1500.0000 D Stock Option (Right to Buy) 12.00 2002-08-06 2011-08-06 Common Stock 36000.0000 36000.0000 D Stock Option (Right to Buy) 16.50 2003-02-19 2012-02-19 Common Stock 5500.0000 5500.0000 D Stock Option (Right to Buy) 11.18 2004-03-28 2013-03-28 Common Stock 1600.0000 1600.0000 D Stock Units 0.00 1988-08-08 1988-08-08 Common Stock 3217.5681 3217.5681 I By Deferred Compensation Plan 401(k) shares based on December 31, 2003 statement. By: Melanie A. DeMorrow as Attorney-in-fact 2004-03-30 -----END PRIVACY-ENHANCED MESSAGE-----