-----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, LfWdoPIDkB2FPZFfmU3/NTRr8o4SLSIlMcF2OtULqi7n6CJNyjrVRa7so4gXn0D+ 1sqiolF+RTko3wIqUAFP6g== 0000021212-05-000024.txt : 20050208 0000021212-05-000024.hdr.sgml : 20050208 20050208152504 ACCESSION NUMBER: 0000021212-05-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050204 FILED AS OF DATE: 20050208 DATE AS OF CHANGE: 20050208 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: TERLEP MICHAEL R JR CENTRAL INDEX KEY: 0001216029 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 05583859 MAIL ADDRESS: STREET 1: P.O BOX 3300 CITY: ELKHART STATE: IN ZIP: 46515-3300 4 1 ter570.xml X0202 4 2005-02-04 0 0000021212 COACHMEN INDUSTRIES INC COA 0001216029 TERLEP MICHAEL R JR P O BOX 3300 ELKHART IN 46515 0 1 0 0 President-Coachmen RV Co LLC Common Stock 17439.0000 D Common Stock 301.0000 I By 401(k) Stock Units 2005-02-04 4 I 0 1254.0293 14.980 D 1988-08-08 1988-08-08 Common Stock 1254.0293 1938.2581 I By Deferred Compensation Plan Stock Option (Right to Buy) 10.000 2001-10-06 2010-10-06 Common Stock 30000.0000 30000.0000 D Stock Option (Right to Buy) 16.500 2003-02-19 2012-02-19 Common Stock 5500.0000 5500.0000 D Stock Option (Right to Buy) 11.180 2004-03-28 2013-03-28 Common Stock 1600.0000 1600.0000 D 1-for-1 401(k) holdings based on December 31, 2004 statement By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2005-02-08 -----END PRIVACY-ENHANCED MESSAGE-----