-----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, KZNpYVdjovDRd2ZQhuHOdHtVkZ5E1X08583RsXMpJ4hR2teCQlggT7MiNE3fuXPI TOdEf6PeGCfBjwvJwiwE6Q== 0001239145-04-000002.txt : 20040223 0001239145-04-000002.hdr.sgml : 20040223 20040223175336 ACCESSION NUMBER: 0001239145-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040223 FILED AS OF DATE: 20040223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COLLINS INDUSTRIES INC CENTRAL INDEX KEY: 0000021759 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 430985160 STATE OF INCORPORATION: MO FISCAL YEAR END: 1031 BUSINESS ADDRESS: STREET 1: 15 COMPOUND DR CITY: HUTCHINSON STATE: KS ZIP: 67502 BUSINESS PHONE: 6206635551 MAIL ADDRESS: STREET 1: 15 COMPOUND DRIVE STREET 2: PO BOX 648 CITY: HUTCHINSON STATE: KS ZIP: 67502 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK TERRY L CENTRAL INDEX KEY: 0001239145 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12619 FILM NUMBER: 04623013 BUSINESS ADDRESS: STREET 1: C/O COLLINS INDUSTRIES INC STREET 2: 15 COMPUND DR CITY: HUTCHINSON STATE: KS ZIP: 67502 BUSINESS PHONE: 6205131001 MAIL ADDRESS: STREET 1: C/O COLLINS INDUSTRIES INC STREET 2: 15 COMPUND DR CITY: HUTCHINSON STATE: KS ZIP: 67502 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-02-23 0 0000021759 COLLINS INDUSTRIES INC COLL 0001239145 CLARK TERRY L C/O COLLINS INDUSTRIES INC 15 COMPUND DR HUTCHINSON KS 67502 0 1 0 0 Executive VP - Operations Collins Industries, Inc. - Common Stock 2004-02-23 4 F 0 2824 4.75 D 64676 D Exchange of previously held shares for payment of taxes on restricted stock /s/ Larry W. Sayre, Attorney in Fact for Terry L. Clark under a Limited Power of Attorney dated December 4, 1997 2004-02-23 -----END PRIVACY-ENHANCED MESSAGE-----