-----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, Tad+3C3fnXPlC8aGk+fEPraJnaAvX6jE3Bwk9wdyqR+FzbEXO8OCVPLw9v2ptWv0 ULzZiKJdpFi3faZbOPnoVw== 0001420506-09-000085.txt : 20090702 0001420506-09-000085.hdr.sgml : 20090702 20090702115654 ACCESSION NUMBER: 0001420506-09-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090701 FILED AS OF DATE: 20090702 DATE AS OF CHANGE: 20090702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COATS JEFFREY H CENTRAL INDEX KEY: 0001198594 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13612 FILM NUMBER: 09925398 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CONGOLEUM CORP CENTRAL INDEX KEY: 0000023341 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS PRODUCTS, NEC [3089] IRS NUMBER: 020398678 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 QUAKERBRIDGE RD STREET 2: PO BOX 3127 CITY: MERCERVILLE STATE: NJ ZIP: 08619-0127 BUSINESS PHONE: 6095843000 MAIL ADDRESS: STREET 1: 3500 QUAKERBRIDGE RD STREET 2: PO BOX 3127 CITY: MERCERVILLE STATE: NJ ZIP: 08619-0127 FORMER COMPANY: FORMER CONFORMED NAME: BATH INDUSTRIES INC DATE OF NAME CHANGE: 19750528 FORMER COMPANY: FORMER CONFORMED NAME: BATH IRON WORKS CORP DATE OF NAME CHANGE: 19670907 4 1 doc4_297.xml PRIMARY DOCUMENT X0303 4 2009-07-01 0 0000023341 CONGOLEUM CORP CGMC.PK 0001198594 COATS JEFFREY H X1 1 0 0 0 Non-Qualified Stock Option (right to buy) 0.015 2009-07-01 4 J 0 500 0.015 A 2010-01-01 2019-07-01 Class A Common Stock 500 500 D Jeffrey H. Coats 2009-07-02 -----END PRIVACY-ENHANCED MESSAGE-----