-----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, Ihskncuv3WF0xyIlSKBQcWgtVNK9mirSBKYTs0DQpuYJB7tzBbJMjzEAt9xflwF4 6qc6AVGw0E46lQjxDm9NTw== 0000021212-09-000108.txt : 20090504 0000021212-09-000108.hdr.sgml : 20090504 20090504121958 ACCESSION NUMBER: 0000021212-09-000108 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090430 FILED AS OF DATE: 20090504 DATE AS OF CHANGE: 20090504 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: 09792354 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 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 1 blo882.xml X0303 4 2009-04-30 0 0000021212 COACHMEN INDUSTRIES INC COHM.PK 0001015781 BLOOM GEOFFREY B PO BOX 3300 ELKHART IN 46515 1 0 0 0 Common Stock 2009-04-30 4 A 0 46154 0.8450 A 84097.0000 D Common Stock 2009-05-04 4 M 0 1000 A 85097.0000 D Restricted Stock Grant 2009-04-30 4 A 0 1000 0 A 2011-04-30 2011-04-30 Common Stock 1000.0000 1000.0000 D Restricted Stock Grant 2009-05-04 4 M 0 1000 0 D 2009-05-03 2009-05-03 Common Stock 1000.0000 0.0000 D Restricted Stock Grant 0.0000 2010-05-01 2010-05-01 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 Vesting of Restricted Stock Grant Restricted Stock Grant vests 100% on April 30, 2011, or upon death, disability or mandatory retirement, or the occurrence of a Change in Control, subject to certain vesting requirements. Restricted Stock Grant vests 100% on May 1, 2010, or upon death, disability or mandatory retirement, or the occurrence of a Change in Control, subject to certain vesting requirements. Option vests in four equal annual installments beginning one year after transaction date. By: By: Melanie A. DeMorrow as Attorney-in-fact for: 2009-05-04 -----END PRIVACY-ENHANCED MESSAGE-----