-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, AtTsFxAm4uGMTktjnCpWAHGo8zVPHCJ+RKhZ3/RZxkErBgco9WW/Sw1tPo7ZkuFo FlrerV5vlK1ughojzyxaiw== 0000950134-04-014247.txt : 20040928 0000950134-04-014247.hdr.sgml : 20040928 20040928164009 ACCESSION NUMBER: 0000950134-04-014247 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040928 DATE AS OF CHANGE: 20040928 GROUP MEMBERS: JOANNE MOQUIST SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RAVEN INDUSTRIES INC CENTRAL INDEX KEY: 0000082166 STANDARD INDUSTRIAL CLASSIFICATION: PRINTED CIRCUIT BOARDS [3672] IRS NUMBER: 460246171 STATE OF INCORPORATION: SD FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-11784 FILM NUMBER: 041050299 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MOQUIST RONALD M CENTRAL INDEX KEY: 0001182948 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: P O BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 571175107 BUSINESS PHONE: 6053350100 MAIL ADDRESS: STREET 1: P O BOX 5107 CITY: SIOUX FALLS STATE: SD ZIP: 571175107 SC 13G 1 c88433sc13g.htm SCHEDULE 13G sc13g
 

         
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G
(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2(b)
(Amendment No. _____)1

Raven Industries, Inc.
(Name of Issuer)

Common Stock, $1.00 Par Value
(Title of Class of Securities)

754212-10-8
(CUSIP Number)

September 20, 2004
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

     
o Rule 13d-1(b)
o Rule 13d-1(c)
x Rule 13d-1(d)

1  The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

SEC 1745 (12-02)


 

     
CUSIP No. 754212-10-8 13 G Page 2 of 7 Pages

  1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
 
RONALD M. MOQUIST


  2. Check the Appropriate Box if a Member of a Group (See Instructions)

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
 
United States of America


  5.   Sole Voting Power
     
    395,030
Number of   6.   Shared Voting Power
Shares      
Beneficially       0
Owned by Each   7.   Sole Dispositive Power
Reporting      
Person     395,030
With:   8.   Shared Dispositive Power
     
    0
  9. Aggregate Amount Beneficially Owned by Each Reporting Person
 
    458,030 (also includes 63,000 shares owned by spouse)

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
 


  11. Percent of Class Represented by Amount In Row (9)
 
5.0%

  12. Type of Reporting Person (See Instructions)
 
IN










 

     
CUSIP No. 754212-10-8 13 G Page 3 of 7 Pages

  1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
 
JOANNE MOQUIST


  2. Check the Appropriate Box if a Member of a Group (See Instructions)

     (a)   o

     (b)   x


  3. SEC Use Only


  4. Citizenship or Place of Organization
 
United States of America


  5.   Sole Voting Power
     
    63,000
Number of   6.   Shared Voting Power
Shares      
Beneficially       0
Owned by Each   7.   Sole Dispositive Power
Reporting      
Person     63,000
With:   8.   Shared Dispositive Power
     
    0
  9. Aggregate Amount Beneficially Owned by Each Reporting Person
 
    458,030 (also includes 395,030 shares owned by spouse)

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
 


  11. Percent of Class Represented by Amount In Row (9)
 
5.0%

  12. Type of Reporting Person (See Instructions)
 
IN










 

     
Item 1(a)
  Name of Issuer: Raven Industries, Inc.
 
Item 1(b)
  Address of Issuer’s Principal Executive Offices: 205 E. 6th Street, Sioux Falls, SD 57104
 
Item 2(a)
  Name of Person Filing: Ronald M. Moquist and Joanne Moquist (Ron and Joanne are husband and wife).
 
Item 2(b)
  Address of Principal Business Office or, if None, Residence: 205 E. 6th Street, Sioux Falls, SD 57104
 
Item 2(c)
  Citizenship: United States of America
 
Item 2(d)
  Title of Class of Securities: Common Stock, $1.00 Par value
 
Item 2(e)
  CUSIP Number: 754212-10-8
 
Item 3.
  If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:
             
(a)
  [   ]   Broker or dealer registered under Section 15 of the Exchange Act.
 
(b)
  [   ]   Bank as defined in Section 3(a)(6) of the Exchange Act.
 
(c)
  [   ]   Insurance company as defined in Section 3(a)(19) of the Exchange Act.
 
(d)
  [   ]   Investment company registered under Section 8 of the Investment Company Act.
 
(e)
  [   ]   An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
 
(f)
  [   ]   An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
 
(g)
  [   ]   A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
 
(h)
  [   ]   A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
 
(i)
  [   ]   A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;
 
(j)
  [   ]   Group, in accordance with Rule 13d-1(b)(1)(ii)(J);

Page 4 of 7


 

     If this statement is filed pursuant to Rule 13d-1(c), check this box. [ ]

Item 4. Ownership.

     Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

         
(a)
  Amount beneficially owned:   458,030 shares (includes 395,030 shares held by Ronald M. Moquist of which 55,000
shares are issuable upon exercise of options which are exercisable within 60 days and
63,000 shares held by Joanne Moquist)
 
(b)
  Percent of class:   5.0%
 
(c)
  Number of shares as to which such person has:

  (i)   Sole power to vote or to direct the vote: 458,030
 
  (ii)   Shared power to vote or to direct the vote: 0
 
  (iii)   Sole power to dispose or to direct the disposition of: 458,030
 
  (iv)   Shared power to dispose or to direct the disposition of: 0

Item 5. Ownership of Five Percent of Less of a Class.

     If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ].

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

     Not applicable.

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security being Reported on by the Parent Holding Company.

     Not applicable.

Item 8. Identification and Classification of Members of the Group.

     Not applicable.

Item 9. Notice of Dissolution of Group.

     Not applicable.

Page 5 of 7


 

Item 10. Certifications.

  (a)   Not applicable.
 
  (b)   By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

SIGNATURE

     After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

Dated:   September 27, 2004
         
     
  /s/ Ronald M. Moquist    
  Ronald M. Moquist   
     
         
     
  /s/ Joanne Moquist    
  Joanne Moquist   
     
 

Page 6 of 7


 

Exhibit A

Agreement to Jointly File Schedule 13G/A

     The undersigned hereby agree to jointly prepare and file with regulatory authorities an Amendment to Schedule 13G and any future amendments thereto reporting each of the undersigned’s ownership of securities of Raven Industries, Inc. and hereby affirm that such Amendment to Schedule 13G is being filed on behalf of each of the undersigned.

Dated:   September 27, 2004
         
     
  /s/ Ronald M. Moquist    
  Ronald M. Moquist   
 
         
     
  /s/ Joanne Moquist    
  Joanne Moquist   
     
 

Page 7 of 7

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