Statement of Changes in Beneficial Ownership (4)
April 07 2021 - 10:02AM
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
*
RYKHUS DANIEL A |
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)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President & CEO |
(Last)
(First)
(Middle)
PO BOX 5107 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
4/5/2021 |
(Street)
SIOUX FALLS, SD 57117
(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 | 4/5/2021 | | A | | 15214 (1) | A | $0 | 265924 | D | |
Common Stock | 4/5/2021 | | F | | 6215 (2) | D | $0 | 259709 | D | |
Common Stock | 4/5/2021 | | A | | 11415 (3) | A | $0 | 271124 | D | |
Common Stock | 4/5/2021 | | F | | 4664 (2) | D | $0 | 266460 | 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 (4) | $29.2 | | | | | | | 4/5/2018 | 4/5/2022 | Common Stock | 38400.0 | | 38400 | D | |
Stock Option (4) | $35.05 | | | | | | | 4/5/2019 | 4/5/2023 | Common Stock | 26060.0 | | 26060 | D | |
Restricted Stock Unit - 2018 | (5) | 4/5/2021 | | A | | | 15214 | (6) | (6) | Common Stock | 15214.0 | $0 | 0 | D | |
Restricted Stock Unit - 2019 | (5) | | | | | | | (7) | (7) | Common Stock | 18226.0 | | 18226 | D | |
Restricted Stock Unit - 2020 | (5) | | | | | | | (8) | (8) | Common Stock | 47440.0 | | 47440 | D | |
Restricted Stock Unit - 2021 | (5) | 4/5/2021 | | A | | 29833 | | (9) | (9) | Common Stock | 29833.0 | $0 | 29833 | D | |
Explanation of Responses: |
(1) | Grant of Time-Based Restricted Stock Units which vested on April 5, 2021 and includes 594 dividend equivalent shares earned on those shares. |
(2) | Shares forfeited to satisfy tax withholding requirements. |
(3) | Grant of 11,415 Performance-based shares which vested on April 5, 2021 and includes 450 dividend equivalent shares earned on those shares. |
(4) | 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. |
(5) | Each Time-based Restricted Stock Unit is the economic equivalent of one share of RAVN Common Stock. |
(6) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date April 5, 2018, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
(7) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date April 5, 2019, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
(8) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date April 6, 2020, provided that the Employee remains continuously employed by the Company through the Vesting Date. |
(9) | The Time-based Restricted Stock Units shall become vested on the third anniversary of the effective date April 5, 2021, 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 |
RYKHUS DANIEL A PO BOX 5107 SIOUX FALLS, SD 57117 | X |
| President & CEO |
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Signatures
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/s/ Daniel A Rykhus | | 4/6/2021 |
**Signature of Reporting Person | Date |
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