-----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, EE0ZOqhdztPYcOjgGLf4wW9mD9xn+banpFXTEKUqVS9ofACqJRsagE49L7RTIpcb U+5BdUYmZgT/lgeTVb93KA== 0000021212-05-000027.txt : 20050316 0000021212-05-000027.hdr.sgml : 20050316 20050316131956 ACCESSION NUMBER: 0000021212-05-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050314 FILED AS OF DATE: 20050316 DATE AS OF CHANGE: 20050316 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: 1205 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: LAVERS RICHARD M CENTRAL INDEX KEY: 0001215511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 05684421 MAIL ADDRESS: STREET 1: P O BOX 3300 CITY: ELKHART STATE: IN ZIP: 465153300 4 1 lav571.xml X0202 4 2005-03-14 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215511 LAVERS RICHARD M P O BOX 3300 ELKHART IN 46515 0 1 0 0 EVP, Sec'y & General Counsel Common Stock 18603.5350 D Common Stock 298.0000 I By 401(k) Restricted Stock Grant 2005-03-14 4 A 0 2000 0 A 2006-03-14 2008-03-14 Common Stock 2000.0000 2000.0000 D Stock Option (Right to Buy) 10.000 2001-10-06 2010-10-06 Common Stock 36000.0000 36000.0000 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 Stock Units 0.000 1988-08-08 1988-08-08 Common Stock 2663.1749 2663.1749 I By Deferred Compensation Plan The grant vests in three annual installments beginning one year after the transaction date. 1-for-1 401(k) holdings based on December 31, 2004 statement. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2005-03-16 -----END PRIVACY-ENHANCED MESSAGE-----