-----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, TUan3awyrbtkKlKvqswn1MtHSLxx24o3oUorc6xLAuBrSZm8unuAUzTjFJxGN4d4 fjPKC+VofGCwL54P+lCJ7w== 0001104659-04-003858.txt : 20040212 0001104659-04-003858.hdr.sgml : 20040212 20040212150109 ACCESSION NUMBER: 0001104659-04-003858 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040212 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: TOOLSON KAY L CENTRAL INDEX KEY: 0000940446 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O MONACO COACH CORP STREET 2: 91320 INDUSTRIAL WAY CITY: COBURG STATE: OR ZIP: 97408 MAIL ADDRESS: STREET 1: 91320 COBURG INDUSTRIAL WAY CITY: COBURG STATE: OR ZIP: 97408-9492 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MONACO COACH CORP /DE/ CENTRAL INDEX KEY: 0000910619 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 351880244 STATE OF INCORPORATION: DE FISCAL YEAR END: 0102 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-46495 FILM NUMBER: 04590432 BUSINESS ADDRESS: STREET 1: 91320 COBURG INDUSTRIAL WY CITY: COBURG STATE: OR ZIP: 97408 BUSINESS PHONE: 5416868011 MAIL ADDRESS: STREET 1: 91320 COBURG INDUSTRIAL WAY CITY: COBURG STATE: OR ZIP: 97408 SC 13G/A 1 a04-2339_1sc13ga.htm SC 13G/A

 

 

UNITED STATES

OMB APPROVAL

 

SECURITIES AND EXCHANGE COMMISSION

OMB Number:
3235-0145

 

Washington, D.C. 20549

Expires:
December 31, 2005

 

SCHEDULE 13G

Estimated average burden hours per response. . 11

 

Under the Securities Exchange Act of 1934
(Amendment No. 10)*

 

Monaco Coach Corporation

(Name of Issuer)

 

Common Stock

(Title of Class of Securities)

 

60886R 10 3

(CUSIP Number)

 

12/31/03

(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

o

Rule 13d-1(c)

ý

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 



 

CUSIP No.  60886R 10 3

 

 

1.

Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only)
Kay L. Toolson

 

 

2.

Check the Appropriate Box if a Member of a Group (See Instructions)

 

 

(a)

o

 

 

(b)

o

 

 

3.

SEC Use Only

 

 

4.

Citizenship or Place of Organization
United States

 

 

 

Number of
Shares
Beneficially
Owned by
Each
Reporting
Person With

5.

Sole Voting Power
1,868,585 (1)

 

6.

Shared Voting Power
N/A

 

7.

Sole Dispositive Power
1,868,585 (1)

 

8.

Shared Dispositive Power
N/A

 

 

9.

Aggregate Amount Beneficially Owned by Each Reporting Person
1,868,585 (1)

 

 

10.

Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  o

 

 

11.

Percent of Class Represented by Amount in Row (9)
6.38%

 

 

12.

Type of Reporting Person (See Instructions)
IN

 


(1)               Includes Options to purchase 23,486 shares of Common Stock that are exercisable within 60 days of 12/31/03

 

2



 

Item 1.

 

(a)

Name of Issuer
Monaco Coach Corporation

 

(b)

Address of Issuer’s Principal Executive Offices
91320 Coburg Industrial Way, Coburg, OR 97408

 

Item 2.

 

(a)

Name of Person Filing
Kay L. Toolson

 

(b)

Address of Principal Business Office or, if none, Residence
c/o Monaco Coach Corporation
91320 Coburg Industrial Way
Coburg, OR 97408

 

(c)

Citizenship
United States

 

(d)

Title of Class of Securities
Common Stock

 

(e)

CUSIP Number
60886R 10 3

 

Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

o

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

 

(b)

o

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

 

(c)

o

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

 

(d)

o

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

 

(e)

o

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

 

(f)

o

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

 

(g)

o

A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);

 

(h)

o

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)

o

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

(j)

o

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

 

 

Item 4.

Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

(a)

Amount beneficially owned:   

1,868,585  Common Shares held at 12/31/03 (1)

 

(b)

Percent of class:   

6.38%

 

(c)

Number of shares as to which the person has:

 

 

 

(i)

Sole power to vote or to direct the vote   

1,868,585 (1)

 

 

(ii)

Shared power to vote or to direct the vote    

N/A

 

 

(iii)

Sole power to dispose or to direct the disposition of   

1,868,585 (1)

 

 

(iv)

Shared power to dispose or to direct the disposition of   

N/A

 


(1)               Includes Options to purchase 23,486 shares of Common Stock that are exercisable within 60 days of 12/31/03

 

3



 

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

Item 5.

Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following   o.

N/A

Instruction:  Dissolution of a group requires a response to this item

 

Item 6.

Ownership of More than Five Percent on Behalf of Another Person

Not applicable.

 

Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person

Not applicable.

 

Item 8.

Identification and Classification of Members of the Group

Not applicable.

 

Item 9.

Notice of Dissolution of Group

Not applicable.

 

Item 10.

Certification

 

(a)           The following certification shall be included if the statement is filed pursuant to §240.13d-1(b):

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

(b)           The following certification shall be included if the statement is filed pursuant to §240.13d-1(c):

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

4



 

Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

 

February 11, 2004

 

Date

 


/s/ Kay L. Toolson

 

Signature

 


Kay L. Toolson, Chief Executive Officer

 

Name/Title

 

The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative.  If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representative’s authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference.  The name and any title of each person who signs the statement shall be typed or printed beneath his signature.

 

NOTE:  Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits.  See §240.13d-7 for other parties for whom copies are to be sent.

 

Attention:                 Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)

 

5


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