Statement of Changes in Beneficial Ownership (4)
December 02 2020 - 10:15AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Wickersham Scott W |
2. Issuer Name and Ticker or Trading Symbol
RAVEN INDUSTRIES INC
[
RAVN
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Div VP & General Manager |
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(Last)
(First)
(Middle)
PO BOX 5107 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/30/2020 |
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(Street)
SIOUX FALLS, SD 57117-5107
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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| Common Stock | 11/30/2020 | | M | | 4600 | A | $15.61 | 23934 | D | |
| Common Stock | 11/30/2020 | | F | | 3505 (1) | D | $26.29 | 20429 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code
(Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4) | 8. Price of Derivative Security
(Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Stock Option (2) | $15.61 | 11/30/2020 | | M | | | 4600 | 4/5/2017 | 4/5/2021 | Common Stock | 4600.0 | $15.61 | 0 | D | |
| Stock Option (2) | $29.2 | | | | | | | 4/5/2018 | 4/5/2022 | Common Stock | 4875.0 | | 4875 | D | |
| Stock Option (2) | $35.05 | | | | | | | 4/5/2019 | 4/5/2023 | Common Stock | 5090.0 | | 5090 | D | |
| Restricted Stock Unit - 2018 | (3) | | | | | | | (4) | (4) | Common Stock | 2853.0 | | 2853 | D | |
| Restricted Stock Unit - 2019 | (3) | | | | | | | (5) | (5) | Common Stock | 2740.0 | | 2740 | D | |
| Restricted Stock Unit - 2020 | (3) | | | | | | | (6) | (6) | Common Stock | 6386.0 | | 6386 | D | |
| Explanation of Responses: |
| (1) | Shares forfeited to satisfy tax withholding requirements. |
| (2) | 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. |
| (3) | Each Time-based Restricted Stock Unit is the economic equivalent of one share of RAVN Common Stock. |
| (4) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/5/18, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
| (5) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/5/19, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
| (6) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date 4/6/2020, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Wickersham Scott W
PO BOX 5107
SIOUX FALLS, SD 57117-5107 |
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| Div VP & General Manager |
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Signatures
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| /s/ Scott W. Wickersham | | 12/1/2020 |
| **Signature of Reporting Person | Date |
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