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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 1474 (9-02) |
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 Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (2) (3) | $ 2.666 | 11/14/2001 | 11/14/2005 | Common Stock | 11,200 | 11,200 | D | ||||||||
Stock Option (2) (4) | $ 4.375 | 11/19/2002 | 11/19/2006 | Common Stock | 24,000 | 24,000 | D | ||||||||
Stock Option (2) (5) | $ 7 | 11/18/2003 | 11/18/2007 | Common Stock | 20,000 | 20,000 | D | ||||||||
Stock Option (2) (6) | $ 13.5 | 11/21/2004 | 11/21/2008 | Common Stock | 13,000 | 13,000 | D | ||||||||
Stock Option (2) | $ 22 | 11/19/2004 | A | 8,000 | 11/19/2005 | 11/19/2009 | Common Stock | 8,000 | $ 22 | 8,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
IACARELLA THOMAS PO BOX 5107 SIOUX FALLS, SD 57117 |
Vice President & CFO |
/s/ Thomas Iacarella | 11/19/2004 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On October 15, 2004, the common stock of Raven Industries, Inc. split 2 for 1 resulting in the reporting person's acquisition of 35,100 additional shares of common stock. |
(2) | Pursuant to Rule 16b-3(d). Right to buy. All options are exercisable at the rate of 25% annually beginning one year after date of grant. |
(3) | Previously reported as 5,600 shares at $5.333 restated for the 2 for 1 stock split on October 15, 2004. |
(4) | Previously reported as 12,000 shares at $8.75 restated for the 2 for 1 stock split on October 15, 2004. |
(5) | Previously reported as 10,000 shares at $14.00 restated for the 2 for 1 stock split on October 15, 2004. |
(6) | Previously reported as 6,500 shares at $27.00 restated for the 2 for 1 stock split on October 15, 2004. |