-----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, RzLrLR1LjCBN3eeZ81CFLRw1+HN8JPil/+6BwOuA6ph22HpP0JpPIhUwQCsNtl8k uHxZw2mv+ZBDPBf8TlFz3w== 0000021212-06-000013.txt : 20060103 0000021212-06-000013.hdr.sgml : 20060102 20060103175017 ACCESSION NUMBER: 0000021212-06-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051230 FILED AS OF DATE: 20060103 DATE AS OF CHANGE: 20060103 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: 06503736 MAIL ADDRESS: STREET 1: P O BOX 3300 CITY: ELKHART STATE: IN ZIP: 465153300 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 ski646.xml X0202 4 2005-12-30 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 2005-12-31 4 D 0 15000 0 D 211791.0000 D Common Stock 302.0000 I By 401(k) Common Stock 100.0000 I By Spouse Stock Units 2005-12-30 4 A 0 355.1533 0 A 1988-08-08 1988-08-08 Common Stock 355.1533 7052.6374 I By Deferred Compensation Plan Stock Option (Right to Buy) 10.0000 2001-10-06 2010-10-06 Common Stock 50000.0000 50000.0000 D Stock Option (Right to Buy) 16.5000 2003-02-19 2012-02-19 Common Stock 8000.0000 8000.0000 D Stock Option (Right to Buy) 11.1800 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 Septemeber 30, 2005 statement By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2006-01-03 -----END PRIVACY-ENHANCED MESSAGE-----