Document

15-12B 1 form152021.htm 15-12B Document

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 15

Certification and Notice of Termination of Registration under Section 12(g) of the Securities Exchange Act of 1934 or Suspension of Duty to File Reports Under Sections 13 and 15(d) of the Securities Exchange Act of 1934.

Commission File Number: 001-07982

RAVEN INDUSTRIES, INC.

(Exact name of registrant as specified in its charter)

205 East 6th Street

P.O. Box 5107

Sioux Falls, SD 57117-5107

(605) 336-2750

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, par value $1 per share

(Title of each class of securities covered by this Form)

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:


			Rule 12g-4(a)(1)			☒
			Rule 12g-4(a)(2)			☐
			Rule 12h-3(b)(1)(i)			☒
			Rule 12h-3(b)(1)(ii)			☐
			Rule 15d-6			☐
			Rule 15d-22(b)			☐

Approximate number of holders of record as of the certification or notice date: One

Pursuant to the requirements of the Securities Exchange Act of 1934, Raven Industries, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date: December 10, 2021


RAVEN INDUSTRIES, INC.
By:			/s/ Roberto Russo
			Name: Roberto Russo
			Title: Secretary

SEC Form 15-12B filed by Raven Industries, Inc.