-----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, SnfvX2Bna/DzICN7i2Ktsis0lI/vYRXn/MBgIdrbpZY29H+XiFJ8h4HQNbCAf+6a xPVTOMClQMC0eGQCtmEWxQ== 0000021212-08-000096.txt : 20080505 0000021212-08-000096.hdr.sgml : 20080505 20080505144727 ACCESSION NUMBER: 0000021212-08-000096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080501 FILED AS OF DATE: 20080505 DATE AS OF CHANGE: 20080505 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: 08802093 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 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: PO BOX 30 STREET 2: 423 N MAIN STREET CITY: MIDDLEBURY STATE: IN ZIP: 46540 BUSINESS PHONE: 5748255821 MAIL ADDRESS: STREET 1: PO BOX 30 STREET 2: 423 N MAIN STREET CITY: MIDDLEBURY STATE: IN ZIP: 46540 4 1 blo807.xml X0202 4 2008-05-01 0 0000021212 COACHMEN INDUSTRIES INC COA 0001015781 BLOOM GEOFFREY B PO BOX 30 MIDDLEBURY IN 46540 1 0 0 0 Common Stock 2008-05-01 4 A 0 10541 0 A 36943.0000 D Common Stock 2008-05-04 4 M 0 1000 0 A 37943.0000 D Restricted Stock Grant 2008-05-01 4 A 0 1000 0 A 2010-05-01 2010-05-01 Common Stock 1000.0000 1000.0000 D Restricted Stock Grant 2008-05-04 4 M 0 1000 0 D 2008-05-04 2008-05-04 Common Stock 1000.0000 0.0000 D Restricted Stock Grant 0.0000 2009-05-03 2009-05-03 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 10.5000 2011-05-03 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 18.6800 2012-05-02 Common Stock 1000.0000 1000.0000 D Stock Option (Right to Buy) 12.6500 2013-05-01 Common Stock 1000.0000 1000.0000 D Restricted Stock Grant vests 100% on May 1, 2010 or upon mandatory retirement, whichever is first, subject to certain vesting requirements. Vesting of Restricted Stock Grant Restricted Stock Grant vests 100% on May 3, 2009 or upon mandatory retirement, whichever is first, subject to certain vesting requriements. Option vests in four equal annual installments beginning one year after transaction date. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2008-05-05 -----END PRIVACY-ENHANCED MESSAGE-----