-----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, KIpE+JQUCJE95cfCVYi6N5ZBMMDpAf1Rs/PHdCYS7hBMDktqsbzjYvWePr5kHHpw MDFNkA45qlMWYSe9V1mChw== 0000021212-05-000015.txt : 20050104 0000021212-05-000015.hdr.sgml : 20050104 20050104163112 ACCESSION NUMBER: 0000021212-05-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050104 DATE AS OF CHANGE: 20050104 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: 05507929 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 sch563.xml X0202 4 2004-12-31 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 13400.0000 D Stock Units 2004-12-31 4 A 0 126.1603 0 A 1988-08-08 1988-08-08 Common Stock 126.1603 451.6573 I By Deferred Compensation Plan Restricted Stock Grant 0.000 2004-12-01 2008-12-01 Common Stock 5600.0000 5600.0000 D Stock Option (Right to Buy) 17.400 2004-12-01 2013-12-01 Common Stock 5000.0000 5000.0000 D Based on shares reported as of current quarter end. The stock units represent amounts deferred and employer matching contributions accrued under the Coachmen Industries, Inc. Deferred Compensation Plan. Stock units representing employer matching contributions vest in 5 years (subject to acceleration upon certain events) and are payable following the termination of employment or a change in control, subject to forfetiture if certain post-employment covenants are breached. Stock units are payable in cash. Stock units representing amounts deferred by the reporting person are payable upon termination of employment. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2005-01-04 -----END PRIVACY-ENHANCED MESSAGE-----