-----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, BpBHhx4FwIK7r3XGLKXKULtcpjSIbwuMr8VpofMiOwVYtEP4vuZzH+lwLeZDb9s4 5JD9KjoPW6r9wT2z+gYs4w== 0000021212-09-000041.txt : 20090112 0000021212-09-000041.hdr.sgml : 20090112 20090112143252 ACCESSION NUMBER: 0000021212-09-000041 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: TERLEP MICHAEL R JR CENTRAL INDEX KEY: 0001216029 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 09521404 BUSINESS ADDRESS: BUSINESS PHONE: 574-825-5821 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 ter874.xml X0303 4 2009-01-09 0 0000021212 COACHMEN INDUSTRIES INC COA 0001216029 TERLEP MICHAEL R JR PO BOX 3300 ELKHART IN 46515 0 1 0 0 President-Coachmen RV Co LLC Common Stock 2009-01-09 4 M 0 7569.0588 A 26561.0588 D Common Stock 2009-01-09 4 D 0 7569.0588 1.8400 D 18992.0000 D Common Stock 319.4898 I By 401(k) Stock Units 2009-01-09 4 M 0 7569.0588 0 D 1988-08-08 1988-08-08 Common Stock 7569.0588 0.0000 I By Deferred Compensation Plan 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-----