-----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, QnrpQ5PJRZUIl9B18+ucgXyQA0CYXcg3720YnbsrTaXYm8h/OFkbxp6KfN3vXhE8 i3pKTgdp7TZzgRhZfptQZQ== 0001140361-10-018416.txt : 20100503 0001140361-10-018416.hdr.sgml : 20100503 20100503115108 ACCESSION NUMBER: 0001140361-10-018416 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100429 FILED AS OF DATE: 20100503 DATE AS OF CHANGE: 20100503 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: 10790389 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: 1027 BUSINESS ADDRESS: STREET 1: PO BOX 3300 STREET 2: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46515 BUSINESS PHONE: 574-266-2500 MAIL ADDRESS: STREET 1: PO BOX 3300 STREET 2: 2831 DEXTER DRIVE CITY: ELKHART STATE: IN ZIP: 46515 4 1 doc1.xml FORM 4 X0303 4 2010-04-29 0 0000021212 COACHMEN INDUSTRIES INC COHM.PK 0001015781 BLOOM GEOFFREY B PO BOX 3300 ELKHART IN 46515 1 0 0 0 COMMON STOCK 2010-05-01 4 M 0 1000 .00 A 65677 D RESTRICTED STOCK GRANT .0 2010-05-01 4 M 0 1000 .00 D 2010-05-01 2010-05-01 COMMON STOCK 1000 0 D RESTRICTED STOCK GRANT (COMMON STOCK) .00 2010-04-29 4 A 0 1000 .00 A 2012-04-29 2012-04-29 COMMON STOCK 1000 1000 D RESTRICTED STOCK GRANT .00 2011-04-30 2011-04-30 COMMON STOCK 1000 1000 D STOCK OPTION (RIGHT TO BUY) 10.50 2002-05-03 2011-05-03 COMMON STOCK 1000 1000 D STOCK OPTION (RIGHT TO BUY) 18.68 2003-05-02 2012-05-02 COMMON STOCK 1000 1000 D STOCK OPTION (RIGHT TO BUY) 12.65 2004-05-01 2013-05-01 COMMON STOCK 1000 1000 D 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 April 29, 2012, or upon death, disability or mandatory retirement, or the occurrence of a Change in Control, subject to certain vesting requirements. Stock Option vests in four equal annual installments beginning one year after the transaction date. Vesting of Restricted Stock Grant By: Melanie A. DeMorrow as Attorney-In-Fact for: Geoffrey B Bloom 2010-05-03 -----END PRIVACY-ENHANCED MESSAGE-----