0000082166-17-000126.txt : 20171205 0000082166-17-000126.hdr.sgml : 20171205 20171205103956 ACCESSION NUMBER: 0000082166-17-000126 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171201 FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 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: 171238884 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117 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 4 1 wf-form4_151248838342021.xml FORM 4 X0306 4 2017-12-01 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 2017-12-01 4 A 0 4676 0 A 4676 D Common Stock 2017-12-01 4 F 0 1915 0 D 2761 D Restricted Stock Unit - 2014 2017-12-01 4 A 0 4350 0 D Common Stock 4350.0 4350 D Stock Option 20.1 2016-03-17 2020-03-17 Common Stock 26200.0 19650 D Stock Option 15.61 2017-04-05 2021-04-05 Common Stock 32800.0 32800 D Stock Option 29.2 2018-04-05 2022-04-05 Common Stock 12300.0 12300 D Restricted Stock Unit - 2016 Common Stock 4570.0 4570 D Restricted Stock Unit - 2017 Common Stock 5140.0 5140 D Grant of 4,676 Time-based shares which vested on 12/1/17 and includes 326 dividend equivalent shares earned on those shares. Each Time-based Restricted Stock Unit is the economic equivalent of one share of RAVN Common Stock. The Time-Based Restricted Stock Units 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 of 4/5/17, provided that the Employee remains continuously employed by the Company through the vesting date. /s/ Steven E. Brazones 2017-12-05