-----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, AnaiXjWiuHu3MnSLIcdq0z5aLwPJEvNPz3GUj9XnNmMxbmPP4nbpI0VffYFSk4GJ H4OLuUMsiNoX5/Y8gxAuYQ== 0000021212-05-000054.txt : 20050509 0000021212-05-000054.hdr.sgml : 20050509 20050509141647 ACCESSION NUMBER: 0000021212-05-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050505 FILED AS OF DATE: 20050509 DATE AS OF CHANGE: 20050509 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: BLOOM GEOFFREY B CENTRAL INDEX KEY: 0001015781 STANDARD INDUSTRIAL CLASSIFICATION: FOOTWEAR, (NO RUBBER) [3140] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 05811015 BUSINESS ADDRESS: STREET 1: 9341 COURTLAND DRIVE NE CITY: ROCKFORD STATE: MI ZIP: 49351 BUSINESS PHONE: 6168665500 MAIL ADDRESS: STREET 1: 9341 COURTLAND DRIVE NE CITY: ROCKFORD STATE: MI ZIP: 49351 4 1 blo598.xml X0202 4 2005-05-05 0 0000021212 COACHMEN INDUSTRIES INC COA 0001015781 BLOOM GEOFFREY B P O BOX 3300 ELKHART IN 46515 1 0 0 0 Common Stock 2005-05-05 4 A 0 3305 11.800 A 17187.0000 D Restricted Stock Grant 2005-05-05 4 A 0 1000 0 A 2007-05-05 Common Stock 1000.0000 1000.0000 D Restricted Stock Grant 0.000 2006-04-29 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 10.500 2011-05-03 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 18.680 2012-05-02 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 12.650 2013-05-01 Common Stock 1000.0000 1000.0000 D Restricted Stock Grant vests 100% on May 5, 2007 Restricted Stock Grant vests 100% on April 29, 2006 Option vests in four equal annual installments beginning one year after transaction date. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2005-05-09 -----END PRIVACY-ENHANCED MESSAGE-----