0001209191-12-017035.txt : 20120309 0001209191-12-017035.hdr.sgml : 20120309 20120309113233 ACCESSION NUMBER: 0001209191-12-017035 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120131 FILED AS OF DATE: 20120309 DATE AS OF CHANGE: 20120309 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOUR ANTHONY W CENTRAL INDEX KEY: 0001184483 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 12679460 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 c27718_5x0.xml MAIN DOCUMENT DESCRIPTION X0304 5 2012-01-31 0 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001184483 BOUR ANTHONY W PO BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 33951 D Common Stock 21170 D Deferred Stock Units Common Stock 7606.807 7606.807 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 12 months after his retirement from the Board. Total reflects units credited as follows: Dividends of 24.447 units on 7/15/11, 22.304 units on 10/14/11 and 21.020 units on 1/13/12. /s/ Anthony W Bour 2012-03-05