-----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, HQYNR2GMcvCIBn3jT/A54OiU3ZaSfff52riehI5KzRdnxfsrmlzJx6M19EvqVjjp L8g9xeEx6aFJ6xMxUzq40A== 0000021212-09-000038.txt : 20090112 0000021212-09-000038.hdr.sgml : 20090112 20090112142910 ACCESSION NUMBER: 0000021212-09-000038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090109 FILED AS OF DATE: 20090112 DATE AS OF CHANGE: 20090112 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: 09521388 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 lav869.xml X0303 4 2009-01-09 0 0000021212 COACHMEN INDUSTRIES INC COA 0001215511 LAVERS RICHARD M PO BOX 3300 ELKHART IN 46515 0 1 0 0 Chief Executive Officer Common Stock 2009-01-09 4 M 0 19741.4818 A 92082.2494 D Common Stock 2009-01-09 4 D 0 19741.4818 1.8400 D 72340.7676 D Common Stock 297.8563 I By 401(k) Stock Units 2009-01-09 4 M 0 19741.4818 0 D 1988-08-08 1988-08-08 Common Stock 19741.4818 0.0000 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 1-for-1 The Coachmen Industries, Inc. Supplemental Deferred Compensation Plan was amended to provide for a lump sum payout for participants still employed as of 12/31/08. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2009-01-12 -----END PRIVACY-ENHANCED MESSAGE-----