SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Wickersham Scott W

(Last) (First) (Middle)
PO BOX 5107

(Street)
SIOUX FALLS SD 57117-5107

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
RAVEN INDUSTRIES INC [ RAVN ]
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
3. Date of Earliest Transaction (Month/Day/Year)
11/30/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/30/2020 M 4,600 A $15.61 23,934 D
Common Stock 11/30/2020 F 3,505(1) D $26.29 20,429 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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 4,600 04/05/2017 04/05/2021 Common Stock 4,600 $15.61 0 D
Stock Option(2) $29.2 04/05/2018 04/05/2022 Common Stock 4,875 4,875 D
Stock Option(2) $35.05 04/05/2019 04/05/2023 Common Stock 5,090 5,090 D
Restricted Stock Unit - 2018 (3) (4) (4) Common Stock 2,853 2,853 D
Restricted Stock Unit - 2019 (3) (5) (5) Common Stock 2,740 2,740 D
Restricted Stock Unit - 2020 (3) (6) (6) Common Stock 6,386 6,386 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.
Remarks:
/s/ Scott W. Wickersham 12/01/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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