0001209191-12-043631.txt : 20120829 0001209191-12-043631.hdr.sgml : 20120829 20120829161858 ACCESSION NUMBER: 0001209191-12-043631 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120827 FILED AS OF DATE: 20120829 DATE AS OF CHANGE: 20120829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sandlin Stephanie Herseth CENTRAL INDEX KEY: 0001557033 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 121063409 MAIL ADDRESS: STREET 1: P.O. BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 57117-5107 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 c29780_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2012-08-27 0000082166 RAVEN INDUSTRIES INC RAVN 0001557033 Sandlin Stephanie Herseth PO BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 Gen Counsel & VP Corp Devel Common Stock 0 D Stock Option 29.82 2012-08-27 4 A 0 7600 0 A 2013-08-27 2017-08-27 Common Stock 7600 7600 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 6. /s/ Stephanie Herseth Sandlin 2012-08-29