0000082166-18-000007.txt : 20180220 0000082166-18-000007.hdr.sgml : 20180220 20180220101919 ACCESSION NUMBER: 0000082166-18-000007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180131 FILED AS OF DATE: 20180220 DATE AS OF CHANGE: 20180220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chicoine David L CENTRAL INDEX KEY: 0001461997 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 18623482 MAIL ADDRESS: STREET 1: 800 NORTH LINDBERGH BLVD. CITY: ST. LOUIS STATE: MO ZIP: 63167 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 5 1 wf-form5_151913994494117.xml FORM 5 X0306 5 2018-01-31 0 0 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001461997 Chicoine David L P.O. BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 0 D Deferred Stock Units Common Stock 2022.247 2022.247 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 7.515 units on 7/21/17, 7.642 units on 10/27/17 and 7.090 units on 1/26/18. /s/ David L. Chicoine 2018-02-12