-----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, J8rtiO+uqPmLOgWuNyCW5P4I1zeqoPqMVFGQcz1Big0h1GanuEbb6B0ICRq25Xin gp3gsGMAZdle2pTJXpLi6Q== 0000021212-05-000110.txt : 20051003 0000021212-05-000110.hdr.sgml : 20051003 20051003174736 ACCESSION NUMBER: 0000021212-05-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050930 FILED AS OF DATE: 20051003 DATE AS OF CHANGE: 20051003 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: SKINNER CLAIRE C CENTRAL INDEX KEY: 0001215515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 051118843 MAIL ADDRESS: STREET 1: P O BOX 3300 CITY: ELKHART STATE: IN ZIP: 465153300 4 1 ski630.xml X0202 4 2005-09-30 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215515 SKINNER CLAIRE C P O BOX 3300 ELKHART IN 46515 1 1 0 0 Chairman and CEO Common Stock 226791.0000 D Common Stock 302.0000 I By 401(k) Common Stock 100.0000 I By Spouse Stock Units 2005-09-30 4 A 0 286.3916 0 A 1988-08-08 1988-08-08 Common Stock 286.3916 6697.4841 I By Deferred Compensation Plan Stock Option (Right to Buy) 10.000 2001-10-06 2010-10-06 Common Stock 50000.0000 50000.0000 D Stock Option (Right to Buy) 16.500 2003-02-19 2012-02-19 Common Stock 8000.0000 8000.0000 D Stock Option (Right to Buy) 11.180 2004-03-28 2013-03-28 Common Stock 2000.0000 2000.0000 D 1-for-1 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. 401(k) holdings based on September 30, 2005 statement By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2005-10-03 -----END PRIVACY-ENHANCED MESSAGE-----