0000082166-17-000016.txt : 20170214
0000082166-17-000016.hdr.sgml : 20170214
20170214143017
ACCESSION NUMBER: 0000082166-17-000016
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170131
FILED AS OF DATE: 20170214
DATE AS OF CHANGE: 20170214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: RAVEN INDUSTRIES INC
CENTRAL INDEX KEY: 0000082166
STANDARD INDUSTRIAL CLASSIFICATION: UNSUPPORTED PLASTICS FILM & SHEET [3081]
IRS NUMBER: 460246171
STATE OF INCORPORATION: SD
FISCAL YEAR END: 0131
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Andringa Jason M
CENTRAL INDEX KEY: 0001576516
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07982
FILM NUMBER: 17607147
MAIL ADDRESS:
STREET 1: PO BOX 5107
CITY: SIOUX FALLS
STATE: SD
ZIP: 57117
5
1
wf-form5_148710060252565.xml
FORM 5
X0306
5
2017-01-31
0
0
0
0000082166
RAVEN INDUSTRIES INC
RAVN
0001576516
Andringa Jason M
PO BOX 5107
SIOUX FALLS
SD
57117
1
0
0
0
Common Stock
9170
D
Deferred Stock Units
Common Stock
16054.655
16054.655
D
Each Deferred Stock Unit is the economic equavalent of one share of RAVN Common Stock.
As permitted under the Issuer's Deferred Stock Compensation Plan for Directors, the Reporting Person has elected to defer receipt of the common stock underlying these Units until 2 months after his retirement from the Board.
Total reflects units credited as follows: Dividends of 107.064 units on 7/22/16, 97.548 units on 10/28/16 and 86.854 units on 1/20/17.
/s/ Jason M. Andringa
2017-02-01