0001209191-11-060009.txt : 20111207
0001209191-11-060009.hdr.sgml : 20111207
20111207160726
ACCESSION NUMBER: 0001209191-11-060009
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: Burkhart Matt T.
CENTRAL INDEX KEY: 0001481477
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07982
FILM NUMBER: 111248679
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
c25675_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
4
2011-12-06
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
1947
D
Stock Option
34.50
2008-11-19
2012-11-19
Common Stock
1200
300
D
Stock Option
24.51
2009-12-05
2013-12-05
Common Stock
5400
4380
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
Stock Option
59.99
2011-12-06
4
A
0
12000
59.99
A
2012-12-06
2016-12-06
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
2011-12-07