-----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, RocV/O/y6VZQR7FVuAsbS1OavDhvD+Pyj6hs/btbvcf1aEL/8DqZC3JhAq+sN2y8 oDKLKx9WZulfJ7oYGSUkRA== 0000021212-09-000058.txt : 20090204 0000021212-09-000058.hdr.sgml : 20090204 20090204124949 ACCESSION NUMBER: 0000021212-09-000058 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090102 FILED AS OF DATE: 20090204 DATE AS OF CHANGE: 20090204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WOELFER W. TODD CENTRAL INDEX KEY: 0001433026 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-07160 FILM NUMBER: 09567565 BUSINESS ADDRESS: BUSINESS PHONE: 574-825-5821 MAIL ADDRESS: STREET 1: PO 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 3300 STREET 2: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 5742662500 MAIL ADDRESS: STREET 1: PO BOX 3300 STREET 2: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46515 4/A 1 woe877.xml X0303 4/A 2009-01-02 2009-01-06 0 0000021212 COACHMEN INDUSTRIES INC COA 0001433026 WOELFER W. TODD PO BOX 3300 ELKHART IN 46515 0 1 0 0 Gen Counsel & Asst Sec'y Common Stock 16450.0000 D Common Stock 650.0000 I As Custodian With Wife For Child On January 6, 2009, the reporting person mistakenly filed a Form 4 reporting the withholding of shares as payment of a tax liability that did not occur. As of January 2, 2009, the reporting person directly owned 16,450 shares. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2009-02-04 -----END PRIVACY-ENHANCED MESSAGE-----