0001209191-13-007931.txt : 20130212 0001209191-13-007931.hdr.sgml : 20130212 20130212093331 ACCESSION NUMBER: 0001209191-13-007931 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130131 FILED AS OF DATE: 20130212 DATE AS OF CHANGE: 20130212 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: 13594677 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 c31124_5x0.xml MAIN DOCUMENT DESCRIPTION X0306 5 2013-01-31 0 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001398233 Kirby Kevin T. PO BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 20000 D Deferred Stock Units Common Stock 7268.755 7268.755 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 11.357 units on 7/25/12, 27.548 units on 10/25/12 and 28.839 units on 12/31/12. 2-for-1 Stock Split units credited 3606.184 on 7/25/12. The amount of securities (and derivative securities) owned has been increased to reflect a 2-for-1 stock split which occured on 7/25/12. /s/ Kevin T. Kirby 2013-02-11