-----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, A/f7RU5M143iwWdENwlRGc+jhyUSlDqb/ThvOzll37qpf6aadSvT5OWmJZk+iew6 w2tH/Hui6o6MNuqEyMHY7w== 0000021212-04-000122.txt : 20040917 0000021212-04-000122.hdr.sgml : 20040917 20040917165714 ACCESSION NUMBER: 0000021212-04-000122 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040916 FILED AS OF DATE: 20040917 DATE AS OF CHANGE: 20040917 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: 041036207 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 ski546.xml X0202 4 2004-09-16 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 2004-09-16 4 S 0 7800 16.100 D 18442.0000 I By Spouse Common Stock 2004-09-16 4 S 0 1200 16.110 D 17242.0000 I By Spouse Common Stock 2004-09-16 4 S 0 100 16.112 D 17142.0000 I By Spouse Common Stock 2004-09-16 4 S 0 4242 16.120 D 12900.0000 I By Spouse Common Stock 2004-09-16 4 S 0 500 16.126 D 12400.0000 I By Spouse Common Stock 2004-09-16 4 S 0 300 16.130 D 12100.0000 I By Spouse Common Stock 2004-09-16 4 S 0 1500 16.140 D 10600.0000 I By Spouse Common Stock 2004-09-16 4 S 0 6100 16.150 D 4500.0000 I By Spouse Common Stock 2004-09-16 4 S 0 1000 16.160 D 3500.0000 I By Spouse Common Stock 2004-09-16 4 S 0 2100 16.200 D 1400.0000 I By Spouse Common Stock 2004-09-16 4 S 0 1200 16.230 D 200.0000 I By Spouse Common Stock 2004-09-16 4 S 0 100 16.224 D 100.0000 I By Spouse Common Stock 215791.0000 D Common Stock 295.0000 I By 401(k) 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 4267.2179 4267.2179 I By Deferred Compensation Plan By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2004-09-17 -----END PRIVACY-ENHANCED MESSAGE-----