0001209191-13-018527.txt : 20130327 0001209191-13-018527.hdr.sgml : 20130327 20130327094133 ACCESSION NUMBER: 0001209191-13-018527 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130325 FILED AS OF DATE: 20130327 DATE AS OF CHANGE: 20130327 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Matthiesen Janet L CENTRAL INDEX KEY: 0001547101 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07982 FILM NUMBER: 13718458 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 4 1 c513005_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2013-03-25 0000082166 RAVEN INDUSTRIES INC RAVN 0001547101 Matthiesen Janet L PO BOX 5107 SIOUX FALLS SD 57117 0 1 0 0 Vice President Human Resources Common Stock 84 D Stock Option 22.20 2011-11-30 2015-11-30 Common Stock 3000 3000 D Stock Option 30.00 2012-12-06 2016-12-06 Common Stock 6000 6000 D Stock Option 31.66 2013-04-02 2017-04-02 Common Stock 8000 8000 D Stock Option 32.85 2013-03-25 4 A 0 9400 32.85 A 2014-03-25 2018-03-25 Common Stock 9400 9400 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. The amount of securities (and derivative securities) owned has been increased to reflect a 2-for-1 stock split which occurred on 7/25/12. Option was omitted in error from initial Form 3 filing. /s/ Janet L Matthiesen 2013-03-26