0001179110-12-006390.txt : 20120404 0001179110-12-006390.hdr.sgml : 20120404 20120404150347 ACCESSION NUMBER: 0001179110-12-006390 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120402 FILED AS OF DATE: 20120404 DATE AS OF CHANGE: 20120404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burkhart Matt T. CENTRAL INDEX KEY: 0001481477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 12741423 MAIL ADDRESS: STREET 1: 205 E. 6TH STREET CITY: SIOUX FALLS STATE: SD ZIP: 57104 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 edgar.xml FORM 4 - X0305 4 2012-04-02 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001481477 Burkhart Matt T. P.O. BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 Division Vice President & GM Common Stock 4082 D Stock Option 24.51 2009-12-05 2013-12-05 Common Stock 1351 1351 D Stock Option 30.05 2010-12-04 2014-12-04 Common Stock 5797 5797 D Stock Opton 44.40 2011-11-30 2015-11-30 Common Stock 12000 12000 D Stock Option 59.99 2012-12-06 2016-12-06 Common Stock 12000 12000 D Stock Option 63.31 2012-04-02 4 A 0 7600 0 A 2013-04-02 2017-04-02 Common Stock 7600 7600 D 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 2. /s/ Matt T. Burkhart 2012-04-04