-----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, TrjY2FUuTQ6H+BJY5cFX1eE/KOSmuQoiwUbZT6MT7oiJdj4RqxeWeWKZb77uyagA WDq3QpZA+wrcIFLQedIWGw== 0001239148-04-000003.txt : 20041229 0001239148-04-000003.hdr.sgml : 20041229 20041229110314 ACCESSION NUMBER: 0001239148-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041228 FILED AS OF DATE: 20041229 DATE AS OF CHANGE: 20041229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOTHARD ARCH G III CENTRAL INDEX KEY: 0001239148 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12619 FILM NUMBER: 041229771 BUSINESS ADDRESS: BUSINESS PHONE: 6205131001 MAIL ADDRESS: STREET 1: C/O COLLINS INDUSTRIES INC STREET 2: 15 COMPOUND DR CITY: HUTCHINSON STATE: KS ZIP: 67502 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-12-28 0 0000021759 COLLINS INDUSTRIES INC COLL 0001239148 GOTHARD ARCH G III C/O COLLINS INDUSTRIES INC 15 COMPOUND DR HUTCHINSON KS 67502 1 0 0 0 Collins Industries, Inc. - Common Stock 2004-12-28 4 G 0 2500 6.2 D 113825 D /s/ Larry W. Sayre, Attorney in Fact for Arch G. Gotthard III under a Limited Power of Attorney dated March 5, 1997 2004-12-29 -----END PRIVACY-ENHANCED MESSAGE-----