-----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, AmyMvZUYhBGwkw936rOx8Y3S5zvwFC4sLP79lpShRCiJDv9pFA25ieFCf+kqLMj+ 1WcbLpjb4C2fJ0mPcSYnVw== 0000021212-04-000064.txt : 20040407 0000021212-04-000064.hdr.sgml : 20040407 20040407155326 ACCESSION NUMBER: 0000021212-04-000064 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040312 FILED AS OF DATE: 20040407 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: 04722446 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 ski513.xml X0201 4 2004-03-12 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 2004-03-12 4 S 0 118 16.476 D 0.0000 I By Spouse 401(k) Common Stock 200791.0000 D Common Stock 231.0000 I By 401(k) Common Stock 40642.0000 I By Spouse Stock Option (Right to Buy) 10.000 2001-10-06 2010-10-06 Common Stock 50000.0000 50000.0000 D Stock Option (Right to Buy) 16.500 2003-02-19 2012-02-19 Common Stock 8000.0000 8000.0000 D Stock Option (Right to Buy) 11.180 2004-03-28 2013-03-28 Common Stock 2000.0000 2000.0000 D Stock Units 0.000 1988-08-08 1988-08-08 Common Stock 3729.7074 3729.7074 I By Deferred Compensation Plan 401(k) based on plan statement as of December 31, 2003 By: Melanie A. DeMorrow as Attorney-in-fact 2004-04-07 -----END PRIVACY-ENHANCED MESSAGE-----