0000082166-19-000092.txt : 20191114 0000082166-19-000092.hdr.sgml : 20191114 20191114171632 ACCESSION NUMBER: 0000082166-19-000092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191114 FILED AS OF DATE: 20191114 DATE AS OF CHANGE: 20191114 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: 191221602 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_157376977534753.xml FORM 4 X0306 4 2019-11-14 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 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 - 2017 Common Stock 170.0 170 D Restricted Stock Unit - 2018 Common Stock 214.0 214 D Restricted Stock Unit - Nov 2019 2019-11-14 4 A 0 400 0 A Common Stock 400.0 400 D Restricted Stock Unit - 2019 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 Common Stock 256.0 256 I By Spouse 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 4/5/17, 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 first anniversary of the effective date 11/14/19, 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 2019-11-14