Form 12b-25 for Collins Industries, Inc.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
SEC FILE NUMBER: 000-12619
CUSIP NUMBER: 194858106
(Check One) |_| Form 10-K |_| Form 20-F |X| Form 11-K |_| Form 10-Q |_| Form
N-SAR |_| Form N-CSR
For Period Ended: December 31, 2004
[ ] Transition Report on Form 10-K [ ] Transition Report on Form 20-F
[ ] Transition Report on Form 11-K [ ] Transition Report on Form 10-Q
[ ] Transition Report on Form N-SAR
For the Transition Period Ended: ________________
Nothing in this form shall be construed to imply that the Commission has
verified any information contained herein.
If the notification relates to a portion of the filing checked above, identify
the Item(s) to which the notification relates:
PART I--REGISTRANT INFORMATION
Collins Industries, Inc.
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Full Name of Registrant
Not Applicable
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Former Name if Applicable
15 Compound Drive
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Address of Principal Executive Office (Street and Number)
Hutchinson, Kansas 67502
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City, State and Zip Code
PART II--RULES 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense
and the registrant seeks relief pursuant to Rule 12b-25(b), the following should
be completed. (Check box if appropriate)
(a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expense;
|X| (b) The subject annual report, semi-annual report, transition report on
Form 10-K, Form 20-F, Form 11-K, Form N-SAR or Form N-CSR, or portion
thereof, will be filed on or before the fifteenth calendar day following
the prescribed due date; or the subject quarterly report or transition
report on Form 10-Q, or portion thereof, will be filed on or before the
fifth calendar day following the prescribed due date; and
(c) The accountant's statement or other exhibit required by Rule 12b-25(c)
has been attached if applicable.
PART III--NARRATIVE
State below in reasonable detail why Forms 10-K, 20-F, 11-K, 10-Q, N-SAR, N-CSR,
or the transition report or portion thereof, could not be filed within the
prescribed time period.
Due to an unanticipated delay in the receipt of certain information from
the third party recordkeeper of the Collins Industries, Inc. Tax Deferred
Savings Plan and Trust (the "Plan"), the financial statements of the Plan for
the year ended December 31, 2004 and corresponding audit will not be completed
in time to file the Plan's Annual Report on Form 11-K.
PART IV--OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification
John Dreasher (620) 663-5551
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(Name) (Area Code) (Telephone Number)
(2) Have all other periodic reports required under Section 13 or 15(d) of the
Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of
1940 during the preceding 12 months or for such shorter period that the
registrant was required to file such report(s) been filed? If answer is no,
identify report(s). |_|Yes |X| No
Annual report on Form 10-K for the period ended October 31, 2004.
Quarterly Report on Form 10-Q for the period ended January 31, 2005.
Quarterly Report on Form 10-Q for the period ended April 30, 2005.
(3) Is it anticipated that any significant change in results of operations from
the corresponding period for the last fiscal year will be reflected by the
earnings statements to be included in the subject report or portion thereof?
|_|Yes |X|No
If so, attach an explanation of the anticipated change, both narratively and
quantitatively, and, if appropriate, state the reasons why a reasonable estimate
of the results cannot be made.
Collins Industries, Inc.
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(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
hereunto duly authorized.
By: Collins Industries, Inc.
Tax Deferred Savings Plan and Trust
Date: June 28, 2005 By: /s/ John Dreasher
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Name: John Dreasher
Title: Vice President of Human Resources