FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/01/2007 |
3. Issuer Name and Ticker or Trading Symbol
COACHMEN INDUSTRIES INC [ COA ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2,943.0682 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Restricted Stock Grant | 03/14/2006 | 03/14/2008 | Common Stock | 1,333 | (1) | D | |
Stock Option (Right to Buy) | 10/06/2001 | 10/06/2010 | Common Stock | 2,000 | $10 | D | |
Stock Option (Right to Buy) | 02/19/2003(2) | 02/19/2012 | Common Stock | 3,500 | $16.5 | D | |
Stock Option (Right to Buy) | 03/28/2004(3) | 03/28/2013 | Common Stock | 500 | $11.18 | D | |
Stock Units | 08/08/1988 | 08/08/1988 | Common Stock | 1,614.639 | (4) | I | By Deferred Compensation Plan |
Explanation of Responses: |
1. Restricted Grant issued March 14, 2005. One-third vested March 14, 2006, one-third vests March 14, 2007 and the final on-third vests March 14, 2008. |
2. The option is exercisable in four equal annual installments. The first installment became exercisable on February 19, 2003. As of the date of this filing, this option is fully exercisable. |
3. The option is exercisable in four equal annual installments. The first installment became exercisable on March 28, 2004, the second installment on March 28, 2005, the third installment on March 28, 2006 and the fourth installment becomes exercisable on March 28, 2007. |
4. 1-for-1 |
Remarks: |
By: By: Melanie A. DeMorrow as Attorney-in-fact for: | 01/03/2007 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |