0000082166-17-000043.txt : 20170406 0000082166-17-000043.hdr.sgml : 20170406 20170406182123 ACCESSION NUMBER: 0000082166-17-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170405 FILED AS OF DATE: 20170406 DATE AS OF CHANGE: 20170406 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: Brazones Steven E CENTRAL INDEX KEY: 0001625761 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 17747145 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117 4 1 wf-form4_149151726770760.xml FORM 4 X0306 4 2017-04-05 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001625761 Brazones Steven E P.O. BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 VP & CFO, Treasurer Common Stock 0 D Restricted Stock Unit - 2014 Common Stock 4350.0 4350 D Stock Option 20.1 2016-03-17 2020-03-17 Common Stock 26200.0 26200 D Stock Option 15.61 2017-04-05 2021-04-05 Common Stock 32800.0 32800 D Restricted Stock Unit - 2016 Common Stock 4570.0 4570 D Stock Option 29.2 2017-04-05 4 A 0 12300 29.20 A 2018-04-05 2022-04-05 Common Stock 12300.0 12300 D Restricted Stock Unit - 2017 2017-04-05 4 A 0 5140 0 A Common Stock 5140.0 5140 D Each time-based restricted stock unit represents a contingent right to receive one share of RAVN common stock. The Time-Based Restricted Stock Units shall become fully vested on the third anniversary of the effective date 12/1/14. Pursuant to Rule 16b-3(d). Right to buy. All options vest at the rate of 25% annually beginning on the date listed in Exercisable, column 6. The Time-Based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/5/16, provided that the Employee remains continuously employed by the Company through the Vesting Date. The Time-Based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/5/17, provided that the Employee remains continuously employed by the Company through the Vesting Date. /s/ Steven E. Brazones 2017-04-06