0001209191-12-029961.txt : 20120523 0001209191-12-029961.hdr.sgml : 20120523 20120523155911 ACCESSION NUMBER: 0001209191-12-029961 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120522 FILED AS OF DATE: 20120523 DATE AS OF CHANGE: 20120523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EVERIST THOMAS S CENTRAL INDEX KEY: 0001188880 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 12864369 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 c28853_4x0.xml MAIN DOCUMENT DESCRIPTION X0305 4 2012-05-22 0000082166 RAVEN INDUSTRIES INC RAVN 0001188880 EVERIST THOMAS S PO BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 12200 D Deferred Stock Units 2012-05-22 4 A 0 454.890 0 A Common Stock 454.890 4333.408 D Each Deferred Stock Unit is the economic equivalent 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 13.793 on 4/25/12 and Deferred Stock Units of 454.890 on 05/22/12. /s/ Thomas S Everist 2012-05-23