0000082166-19-000025.txt : 20190409 0000082166-19-000025.hdr.sgml : 20190409 20190409151440 ACCESSION NUMBER: 0000082166-19-000025 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190405 FILED AS OF DATE: 20190409 DATE AS OF CHANGE: 20190409 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Freesemann Nicole M CENTRAL INDEX KEY: 0001764556 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 19739376 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117-5107 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_155483726464188.xml FORM 4 X0306 4 2019-04-05 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001764556 Freesemann Nicole M P.O. BOX 5107 SIOUX FALLS SD 57117-5107 0 1 0 0 Vice President HR Common Stock 2019-04-05 4 A 0 337 0 A 1645 D Common Stock 2019-04-05 4 F 0 100 0 D 1545 D Common Stock 2019-04-05 4 A 0 510 0 A 2055 D Common Stock 2019-04-05 4 F 0 152 0 D 1903 D Common Stock 601 I By Spouse Stock Option 20.1 2016-03-17 2020-03-17 Common Stock 275.0 275 D Restricted Stock Unit - 2016 2019-04-05 4 A 0 320 0 D Common Stock 320.0 0 D Restricted Stock Unit - 2017 Common Stock 170.0 170 D Restricted Stock Unit - 2018 Common Stock 214.0 214 D Restricted Stock Unit - 2019 2019-04-05 4 A 0 1615 0 A Common Stock 1615.0 1615 D Restricted Stock Unit - 2017 Common Stock 340.0 340 I By Spouse Restricted Stock Unit - 2018 Common Stock 428.0 428 I By Spouse Restricted Stock Unit - 2019 2019-04-05 4 A 0 256 0 A Common Stock 256.0 256 I By Spouse Grant of Time-Based Restricted Stock Units which vested on April 5, 2019 and includes 17 dividend equivalent shares earned on those shares. Shares forfeited to satisfy tax withholding requirements. Grant of 480 Performance-based shares which vested on April 5, 2019 and includes 30 dividend equivalent shares earned on those shares. 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. Each Time-based Restricted Stock Unit is the economic equivalent of one share of RAVN Common Stock. 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. The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/5/18, 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 4/5/19, provided that the Employee remains continuously employed by the Company through the Vesting Date. /s/ Nicole M. Freesemann 2019-04-09