-----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, F7iRkpceYjoQ6D4VLzNZXU137Lu7fDKuxIU7fGgKMU4XBCBDYQwy+e1eTS+ZyRKA VWv9p/Zhic/fjUwFsHum3g== 0000021212-08-000169.txt : 20081001 0000021212-08-000169.hdr.sgml : 20081001 20081001143517 ACCESSION NUMBER: 0000021212-08-000169 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080930 FILED AS OF DATE: 20081001 DATE AS OF CHANGE: 20081001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAVERS RICHARD M CENTRAL INDEX KEY: 0001215511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 081099621 BUSINESS ADDRESS: BUSINESS PHONE: 5748255821 MAIL ADDRESS: STREET 1: P O BOX 30 CITY: MIDDLEBURY STATE: IN ZIP: 46540 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 lav833.xml X0303 4 2008-09-30 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215511 LAVERS RICHARD M PO BOX 30 MIDDLEBURY IN 46540 0 1 0 0 Chief Executive Officer Common Stock 2008-09-30 4 A 0 1695 1.7640 A 20480.9688 D Common Stock 297.8563 I By 401(k) Stock Units 2008-09-30 4 I 0 3409.0909 0 A 1988-08-08 1988-08-08 Common Stock 3409.0909 59527.2625 I By Deferred Compensation Plan Stock Option (Right to Buy) 10.0000 2001-10-06 2010-10-06 Common Stock 36000.0000 36000.0000 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 Shares acquired under the Coachmen Employee Stock Purchase Plan as of current quarterly purchase 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, 2008 statement By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2008-10-01 -----END PRIVACY-ENHANCED MESSAGE-----