0001209191-13-007932.txt : 20130212 0001209191-13-007932.hdr.sgml : 20130212 20130212093608 ACCESSION NUMBER: 0001209191-13-007932 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: BOUR ANTHONY W CENTRAL INDEX KEY: 0001184483 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 13594690 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 c31123_5x0.xml MAIN DOCUMENT DESCRIPTION X0306 5 2013-01-31 0 0 0000082166 RAVEN INDUSTRIES INC RAVN 0001184483 BOUR ANTHONY W PO BOX 5107 SIOUX FALLS SD 57117 1 0 0 0 Common Stock 47702 D Common Stock 62540 D Deferred Stock Units Common Stock 17275.470 17275.470 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 26.992 units on 7/25/12, 65.473 units on 10/25/12 and 68.541 units on 12/31/12. 2-for-1 Stock Split Units of 8570.728 credited on 7/25/12. The amount of securities (and derivative securities) owned has been increased to reflect the 2-for-1 stock split which occurred on 7/25/12. On February 4, 2009, the Reporting Person transferred 55,121 shares to a grantor retained annuity trust (GRAT) for the benefit of the Reporting Person and his adult children. The reporting person has formed a total of 4 GRAT's each with a two-year time frame. On February 4, 2011, GRAT 1 terminated and 21,170 shares were transferred to the Reporting Person's adult children. On February 22, 2012, GRAT 2 terminated and 10,100 shares were transferred into irrevocable trusts for the Reporting Person's adult children. The Reporting Person is a co-trustee of these trusts. On 7/25/12 the remaining shares were increased to reflect a 2-for-1 stock split. The remaining 47,702 shares are held in GRAT 3 (24,890 shares) and GRAT 4 (22,812 shares) for the benefit of the Reporting Person and his adult children. /s/ Anthony W Bour 2013-02-11