-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ui3isqVR1hvFRAmQudC6X3Ad62/JzaGr94P7km6KEOVCzZO8RBOHXRZtNOZimbTu 7qgpiP7C3NPBoxKFK2U1Ag== 0001209191-11-001716.txt : 20110105 0001209191-11-001716.hdr.sgml : 20110105 20110105160424 ACCESSION NUMBER: 0001209191-11-001716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110104 FILED AS OF DATE: 20110105 DATE AS OF CHANGE: 20110105 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: 11510904 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 c10634_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2011-01-04 0000082166 RAVEN INDUSTRIES INC RAVN 0001481477 Burkhart Matt T. PO BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 Division Vice President & GM Common Stock 2011-01-04 4 M 0 900 34.50 A 1650 D Common Stock 2011-01-04 4 F 0 723 48.16 D 927 D Stock Option 34.50 2011-01-04 4 M 0 900 34.50 D 2008-11-19 2012-11-19 Common Stock 1200 300 D Stock Option 24.51 2009-12-05 2013-12-05 Common Stock 5400 5400 D Stock Option 30.05 2010-12-04 2014-12-04 Common Stock 6550 6550 D Stock Option 44.40 2011-11-30 2015-11-30 Common Stock 12000 12000 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 2011-01-05 -----END PRIVACY-ENHANCED MESSAGE-----