-----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, IfqugAKX5tNQRJnPoGKRti2ig714ptIfvH9um64f/8GET6aBBX70k+eoFAppkR/3 h6BkdAJuFHH8rsrmAlOaZA== 0000950134-04-000315.txt : 20040113 0000950134-04-000315.hdr.sgml : 20040113 20040113113617 ACCESSION NUMBER: 0000950134-04-000315 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040113 GROUP MEMBERS: MARY JO CHRISTENSEN FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHRISTENSEN DAVID A CENTRAL INDEX KEY: 0001106639 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 205 EAST SIXTH STREET CITY: SIOUX FALLS STATE: SD ZIP: 57104 BUSINESS PHONE: 6053362750 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RAVEN INDUSTRIES INC CENTRAL INDEX KEY: 0000082166 STANDARD INDUSTRIAL CLASSIFICATION: PRINTED CIRCUIT BOARDS [3672] IRS NUMBER: 460246171 STATE OF INCORPORATION: SD FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-11784 FILM NUMBER: 04522004 BUSINESS ADDRESS: STREET 1: 205 E 6TH ST STREET 2: PO BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117 BUSINESS PHONE: 6053362750 MAIL ADDRESS: STREET 1: P O BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117-5107 SC 13G/A 1 c82035sc13gza.htm AMENDMENT NO. 4 TO SCHEUDLE 13G sc13gza
 

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 4)*

RAVEN INDUSTRIES, INC.

(Name of Issuer)

COMMON STOCK, $1.00 PAR VALUE

(Title of Class of Securities)

754212-10-8

(Cusip Number)

DECEMBER 31, 2003

(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)

        x 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 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).

 

 

             
13G
CUSIP No. 754212-10-8 Page 2 of 7
  1. Name of Reporting Person:
DAVID A. CHRISTENSEN		 I.R.S. Identification Nos. of above persons (entities only):
  2. Check the Appropriate Box if a Member of a Group:
    (a) o  
    (b) x  
  3. SEC Use Only:
  4. Citizenship or Place of Organization:
United States of America
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power:
173,655
6. Shared Voting Power:
0
7. Sole Dispositive Power:
173,655
8.Shared Dispositive Power:
0
  9.Aggregate Amount Beneficially Owned by Each Reporting Person:
496,835 (also includes 323,180 shares owned by spouse)
  10.Check if the Aggregate Amount in Row (9) Excludes Certain Shares:
o
  11.Percent of Class Represented by Amount in Row (9):
5.5%
  12.Type of Reporting Person:
IN

2

 

             
13G
CUSIP No. 754212-10-8 Page 3 of 7
  1. Name of Reporting Person:
MARY JO CHRISTENSEN		 I.R.S. Identification Nos. of above persons (entities only):
  2. Check the Appropriate Box if a Member of a Group:
    (a) o  
    (b) x  
  3. SEC Use Only:
  4. Citizenship or Place of Organization:
Unites States of America
Number of
Shares
Beneficially
Owned by
Each Reporting
Person With
5. Sole Voting Power:
323,180
6. Shared Voting Power:
0
7. Sole Dispositive Power:
323,180
8.Shared Dispositive Power:
0
  9.Aggregate Amount Beneficially Owned by Each Reporting Person:
496,835 (includes 173,655 shares owned by spouse)
  10.Check if the Aggregate Amount in Row (9) Excludes Certain Shares:
o
  11.Percent of Class Represented by Amount in Row (9):
5.5%
  12.Type of Reporting Person:
IN

3

 

     
Item 1(a)   Name of Issuer: Raven Industries, Inc.
     
Item 1(b)   Address of Issuer’s Principal Executive Offices: P.O. Box 5107, Sioux Falls, SD 57117-5107
     
Item 2(a)   Name of Person Filing: David A. Christensen and Mary Jo Christensen (David and Mary Jo are husband and wife). David A. Christensen and Mary Jo Christensen are trustees of the David A. Christensen Living Trust, which holds 173,655 shares. Mary Jo Christensen and David A. Christensen are trustees of the Mary Jo Christensen Living Trust, which holds 323,180 shares.
     
Item 2(b)   Address of Principal Business Office or, if None, Residence:
    P.O. Box 5107, Sioux Falls, SD 57117-5107
     
Item 2(c)   Citizenship: United States of America
     
Item 2(d)   Title of Class of Securities: Common Stock, $1.00 Par value
     
Item 2(e)   CUSIP Number: 754212-10-8
     
Item 3.   If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:
             
(a)   [ ]   Broker or dealer registered under Section 15 of the Exchange Act.
             
(b)   [ ]   Bank as defined in Section 3(a)(6) of the Exchange Act.
             
(c)   [ ]   Insurance company as defined in Section 3(a)(19) of the Exchange Act.
             
(d)   [ ]   Investment company registered under Section 8 of the Investment Company Act.
             
(e)   [ ]   An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
             
(f)   [ ]   An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
             
(g)   [ ]   A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
             
(h)   [ ]   A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
             
(i)   [ ]   A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;
             
(j)   [ ]   Group, in accordance with Rule 13d-1(b)(1)(ii)(J);

Page 4 of 7

 

      If this statement is filed pursuant to Rule 13d-1(c), check this box. [ ]

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:   496,835 shares (includes 173,655 shares held by David Christensen and 323,180 shares held by Mary Jo Christensen)
         
(b)   Percent of class:   5.5%
         
(c)   Number of shares as to which such person has:
         
    (i)   Sole power to vote or to direct the vote: 496,835
         
    (ii)   Shared power to vote or to direct the vote: 0
         
    (iii)   Sole power to dispose or to direct the disposition of: 496,835
         
    (iv)   Shared power to dispose or to direct the disposition of: 0

Item 5. Ownership of Five Percent of 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 [ ].

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.

      Not applicable.

Item 8. Identification and Classification of Members of the Group.

      Not applicable.

Item 9. Notice of Dissolution of Group.

      Not applicable.

Page 5 of 7

 

Item 10. Certifications.
         
  (a)   Not applicable.
         
  (b)   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.

SIGNATURE

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

Dated: January 13, 2004

 
/s/ David A. Christensen
David A. Christensen
 
/s/ Mary Jo Christensen
Mary Jo Christensen

Page 6 of 7

 

Exhibit A

Agreement to Jointly File Schedule 13G/A

      The undersigned hereby agree to jointly prepare and file with regulatory authorities an Amendment to Schedule 13G and any future amendments thereto reporting each of the undersigned’s ownership of securities of Raven Industries, Inc. and hereby affirm that such Amendment to Schedule 13G is being filed on behalf of each of the undersigned.

Dated: January 13, 2004

 
/s/ David A. Christensen
David A. Christensen
 
/s/ Mary Jo Christensen
Mary Jo Christensen

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