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    SEC Form 4: Brazones Steven E returned 46,453 shares to the company, closing all direct ownership in the company

    12/1/21 7:34:24 PM ET
    $RAVN
    Specialty Chemicals
    Capital Goods
    Get the next $RAVN alert in real time by email
    SEC FORM 4 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
    OMB APPROVAL
    OMB Number: 3235-0287
    Estimated average burden
    hours per response: 0.5
      
    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*
    Brazones Steven E

    (Last) (First) (Middle)
    P.O. BOX 5107

    (Street)
    SIOUX FALLS SD 57117

    (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)
    Division VP & GM
    3. Date of Earliest Transaction (Month/Day/Year)
    11/30/2021
    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 11/30/2021 D 46,453 D (1) 0 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 $29.2 11/30/2021 D 3,075 04/05/2018 04/05/2022 Common Stock 3,075 (1) 0 D
    Stock Option $35.05 11/30/2021 D 3,940 04/05/2019 04/05/2023 Common Stock 3,940 (1) 0 D
    Restricted Stock Units - 2019 (2) 11/30/2021 D 5,922(4) (1)(9) (1)(9) Common Stock 5,922(4) (1) 0 D
    Restricted Stock Units - 2020 (2) 11/30/2021 D 13,399(5) (1)(10) (1)(10) Common Stock 13,399(5) (1) 0 D
    Restricted Stock Units - 2021 (2) 11/30/2021 D 11,954 (1)(11) (1)(11) Common Stock 11,954 (1) 0 D
    Restricted Stock Units - 2019 (3) 11/30/2021 D 11,844(6) (1)(12) (1)(12) Common Stock 11,844(6) (1) 0 D
    Restricted Stock Units - 2020 (3) 11/30/2021 D 21,814(7) (1)(13) (1)(13) Common Stock 21,814(7) (1) 0 D
    Restricted Stock Units - 2021 (3) 11/30/2021 D 23,908(8) (1)(14) (1)(14) Common Stock 23,908(8) (1) 0 D
    Explanation of Responses:
    1. Disposed of as a result of the merger pursuant to the previously announced Agreement and Plan of Merger (the "Merger"), dated as of June 20, 2021, by and among Raven Industries, Inc. ("Raven"), CNH Industrial N.V. and CNH Industrial South Dakota, Inc., as it may be amended from time to time (the "Merger Agreement"). The shares of Raven Common Stock were converted in the Merger into the right to receive $58.00 in cash per share of Common Stock.
    2. Each Time-Based Restricted Stock Unit is the economic equivalent of one share of Raven Common Stock.
    3. Each Performance-Based Restricted Stock Unit is the economic equivalent of one share of Raven Common Stock.
    4. Includes 154 dividend equivalent units.
    5. Includes 159 dividend equivalent units.
    6. The target number of shares of Raven Common Stock was 5,768. Includes 154 dividend equivalent units.
    7. The target number of shares of Raven Common Stock was 13,240. Includes 159 dividend equivalent units.
    8. The target number of shares of Raven Common Stock was 11,954.
    9. The Time-based Restricted Stock Units become vested on the third anniversary of the effective date (April 5, 2019), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    10. The Time-based Restricted Stock Units become vested on the third anniversary of the effective date (April 6, 2020), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    11. The Time-based Restricted Stock Units become vested on the third anniversary of the effective date (April 5, 2021), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    12. Subject to the achievement of certain performance conditions, Performance-based Restricted Stock Units become vested on the third anniversary of the effective date (April 5, 2019), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    13. Subject to the achievement of certain performance conditions, Performance-based Restricted Stock Units become vested on the third anniversary of the effective date (April 6, 2020), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    14. Subject to the achievement of certain performance conditions, Performance-based Restricted Stock Units become vested on the third anniversary of the effective date (April 5, 2021), provided that the Reporting Person remains continuously employed by Raven through such vesting date.
    /s/ Steven Brazones 12/01/2021
    ** 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.
    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 Number.
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