0001209191-12-008909.txt : 20120210
0001209191-12-008909.hdr.sgml : 20120210
20120210124301
ACCESSION NUMBER: 0001209191-12-008909
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120131
FILED AS OF DATE: 20120210
DATE AS OF CHANGE: 20120210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kirby Kevin T.
CENTRAL INDEX KEY: 0001398233
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07982
FILM NUMBER: 12590856
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
5
1
c27169_5x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
5
2012-01-31
0
0
0000082166
RAVEN INDUSTRIES INC
RAVN
0001398233
Kirby Kevin T.
PO BOX 5107
SIOUX FALLS
SD
57117
1
0
0
0
Common Stock
10000
D
Deferred Stock Units
Common Stock
3128.770
3128.770
D
Each Deferred Stock Unit is the economic equavalent of one share of RAVN Common Stock.
As permitted under the Issuer's Deferred Stock Compensation Plan for Directors, the Reporting Person has elected to defer receipt of the common stock underlying these Units until 2 months after his retirement from the Board.
Total reflects units credited as follows: Dividends of 10.055 units on 7/15/11, 9.174 units on 10/14/11 and 8.646 units on 1/13/12.
/s/ Kevin T. Kirby
2012-02-10