0000082166-21-000051.txt : 20210407 0000082166-21-000051.hdr.sgml : 20210407 20210407095750 ACCESSION NUMBER: 0000082166-21-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210405 FILED AS OF DATE: 20210407 DATE AS OF CHANGE: 20210407 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: 21810968 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_161780385311877.xml FORM 4 X0306 4 2021-04-05 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 2021-04-05 4 A 0 224 0 A 2839 D Common Stock 2021-04-05 4 F 0 53 0 D 2786 D Common Stock 2021-04-05 4 A 0 341 0 A 3127 D Common Stock 2021-04-05 4 F 0 80 0 D 3047 D Common Stock 2021-04-05 4 A 0 446 0 A 1294 I By Spouse Common Stock 2021-04-05 4 F 0 133 0 D 1161 I By Spouse Restricted Stock Unit - 2018 2021-04-05 4 A 0 224 0 D Common Stock 224.0 0 D Restricted Stock Unit - 2019 Common Stock 1615.0 1615 D Restricted Stock Unit - 2020 Common Stock 3421.0 3421 D Restricted Stock Unit - 2021 2021-04-05 4 A 0 1949 0 A Common Stock 1949.0 1949 D Restricted Stock Unit - 2018 2021-04-05 4 A 0 446 0 D Common Stock 446.0 0 I By Spouse Restricted Stock Unit - 2019 Common Stock 256.0 256 I By Spouse Restricted Stock Unit - 2020 Common Stock 507.0 507 I By Spouse Restricted Stock Unit - 2021 2021-04-05 4 A 0 390 0 A Common Stock 390.0 390 I By Spouse Grant of Time-Based Restricted Stock Units which vested on April 5, 2021 and includes 10 dividend equivalent shares earned on those shares. Shares forfeited to satisfy tax withholding requirements. Grant of 341 Performance-based shares which vested on April 5, 2021 and includes 20 dividend equivalent shares earned on those shares. Grant of Time-Based Restricted Stock Units which vested on April 5, 2021 and includes 18 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 shall become vested on the third anniversary of the effective date April 5, 2018, 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 April 5, 2019, 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 April 6, 2020, 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 April 5, 2021, provided that the Employee remains continuously employed by the Company through the Vesting Date. /s/ Nicole M. Freesemann 2021-04-07