-----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, TqOs3wzVATvY5zAA01JiGoeyKmZcYtoMytkUbMW16oRszGQNdgaHYp8g6Fj8mbX6 rV2mSozwJ3SsxOjHRiTADQ== 0000021212-07-000137.txt : 20071002 0000021212-07-000137.hdr.sgml : 20071002 20071002094622 ACCESSION NUMBER: 0000021212-07-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070928 FILED AS OF DATE: 20071002 DATE AS OF CHANGE: 20071002 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: TERLEP MICHAEL R JR CENTRAL INDEX KEY: 0001216029 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 071147668 MAIL ADDRESS: STREET 1: P.O BOX 3300 CITY: ELKHART STATE: IN ZIP: 46515-3300 4 1 ter760.xml X0202 4 2007-09-28 0 0000021212 COACHMEN INDUSTRIES INC COA 0001216029 TERLEP MICHAEL R JR P O BOX 3300 ELKHART IN 46515 0 1 0 0 President-Coachmen RV Co LLC Common Stock 5039.0000 D Common Stock 321.2790 I By 401(k) Stock Units 2007-09-28 4 I 0 298.5045 0 A 1988-08-08 1988-08-08 Common Stock 298.5045 4011.8242 I By Deferred Compensation Plan Restricted Stock Grant 0.0000 2006-03-14 2008-03-14 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 10.0000 2001-10-06 2010-10-06 Common Stock 30000.0000 30000.0000 D Stock Option (Right to Buy) 16.5000 2003-02-19 2012-02-19 Common Stock 5500.0000 5500.0000 D Stock Option (Right to Buy) 11.1800 2004-03-28 2013-03-28 Common Stock 1600.0000 1600.0000 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 28, 2007 statement By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2007-10-02 -----END PRIVACY-ENHANCED MESSAGE-----