0001209191-12-017642.txt : 20120313 0001209191-12-017642.hdr.sgml : 20120313 20120313110745 ACCESSION NUMBER: 0001209191-12-017642 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120131 FILED AS OF DATE: 20120313 DATE AS OF CHANGE: 20120313 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRIFFIN MARK E CENTRAL INDEX KEY: 0001183423 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 12686131 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117 5 1 c27521_4x0.xml MAIN DOCUMENT DESCRIPTION X0304 5 2012-01-31 0 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001183423 GRIFFIN MARK E PO BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 10832 D Common Stock 79996 I Self as Trustee for the John E Griffin trust. Deferred Stock Units Common Stock 3864.725 3864.725 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 12.420 units on 7/15/11, 11.332 units on 10/14/11 and 10.679.on 1/13/12. The reporting person no longer has a reportable beneficial interest in 8,152 shares of Raven common stock owned by his daugher and included on the Reporting Persons prior ownership reports. /s/ Mark E Griffin 2012-03-13