0001209191-11-060008.txt : 20111207 0001209191-11-060008.hdr.sgml : 20111207 20111207160459 ACCESSION NUMBER: 0001209191-11-060008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111206 FILED AS OF DATE: 20111207 DATE AS OF CHANGE: 20111207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bair David R CENTRAL INDEX KEY: 0001388130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 111248663 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117 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 c25673_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 4 2011-12-06 0000082166 RAVEN INDUSTRIES INC RAVN 0001388130 Bair David R PO BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 Division Vice President and GM Common Stock 26361 D Stock Option 34.50 2008-11-19 2012-11-19 Common Stock 5400 1351 D Stock Option 24.51 2009-12-05 2013-12-05 Common Stock 7400 7400 D Stock Option 30.05 2010-12-04 2014-12-04 Common Stock 6000 6000 D Stock Option 44.40 2011-11-30 2015-11-30 Common Stock 8000 8000 D Stock Option 59.99 2011-12-06 4 A 0 8000 59.99 A 2012-12-06 2016-12-06 Common Stock 8000 8000 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 6. /s/ David R Bair 2011-12-07