SEC Form 4 · accession 0000726958-15-000064
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Julia L Jackowski
Officer — SVP, Corp Gen Counsel & HR
Period of report
Jun 5, 2015
Accepted (ET)
Jun 9, 2015 · 12:19 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000726958
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 5, 2015 | A | 3,912 | $0.00 | A | 16,584 | D | |
| Common Stock | Jun 5, 2015 | F | 1,304 | $87.67 | D | 15,280 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted stock unitsF2,F3 | — | Jun 5, 2015 | A | 3,250 | A | — | — | Common Stock | 3,250 | 3,250 | D |
Explanation of responses
- F1Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award represents the equity component of the amount payable to Ms. Jackowski under the fiscal 2015 annual incentive program. The shares awarded are subject to a three year sale restriction.
- F2Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018.
- F3Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock.