-----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, SMqs2G3GVAEhnKMXlaOo7hI4244uKXZbKtQ8TaVBSs9BHU2pHgsRwS839JRVkL3C sz9Yb4EpXeIj6ezxZghQkg== 0000021212-04-000143.txt : 20041129 0000021212-04-000143.hdr.sgml : 20041129 20041129160558 ACCESSION NUMBER: 0000021212-04-000143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041122 FILED AS OF DATE: 20041129 DATE AS OF CHANGE: 20041129 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORSON THOMAS H CENTRAL INDEX KEY: 0001216773 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 041171694 MAIL ADDRESS: STREET 1: PO BOX 3300 CITY: ELKHART STATE: IN ZIP: 46515-3300 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 cor556.xml X0202 4 2004-11-22 0 0000021212 COACHMEN INDUSTRIES INC COA 0001216773 CORSON THOMAS H P O BOX 3300 ELKHART IN 46515 1 0 0 0 Common Stock 2004-11-22 5 G 0 5000 0 D 564197.0000 D Common Stock 507540.0000 I By Spouse Restricted Stock Grant 0.000 2006-04-29 2006-04-29 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 10.500 2002-05-03 2011-05-03 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 18.680 2003-05-02 2012-05-02 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 12.650 2004-05-01 2013-05-01 Common Stock 1000.0000 1000.0000 D By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2004-11-29 -----END PRIVACY-ENHANCED MESSAGE-----