-----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, Bft0gML+UmgP5RPsrUTHGrrUbvU6aUazv8hnGPKQpMnQwY5E1/IZmW00WFBhL+Ab Ws3BQ+CUIyM3/yhsiB/YCQ== 0000021212-04-000145.txt : 20041203 0000021212-04-000145.hdr.sgml : 20041203 20041203140811 ACCESSION NUMBER: 0000021212-04-000145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041203 DATE AS OF CHANGE: 20041203 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: SCHAFER MATTHEW J CENTRAL INDEX KEY: 0001270954 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 041183082 MAIL ADDRESS: STREET 1: PO BOX 3300 CITY: ELKHART STATE: IN ZIP: 46515-3300 4 1 sch557.xml X0202 4 2004-12-01 0 0000021212 COACHMEN INDUSTRIES INC COA 0001270954 SCHAFER MATTHEW J P O BOX 3300 ELKHART IN 46515 0 1 0 0 President & COO Common Stock 2004-12-01 4 M 0 1400 0 A 13400.0000 D Restricted Stock Grant 0.000 2004-12-01 4 M 0 1400 0 D 2004-12-01 2008-12-01 Common Stock 1400.0000 5600.0000 D Stock Option (Right to Buy) 17.400 2004-12-01 2013-12-01 Common Stock 5000.0000 5000.0000 D Stock Units 0.000 1988-08-08 1988-08-08 Common Stock 325.4970 325.4970 I By Deferred Compensation Plan First one-fifth installment vesting of Restricted Stock Grant dated 12/1/03 By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2004-12-03 -----END PRIVACY-ENHANCED MESSAGE-----