SEC Form 4 · accession 0000726958-16-000241
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey M Lamberti
Director
Period of report
Jun 22, 2016
Accepted (ET)
Jun 22, 2016 · 2:13 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 22, 2016 | S | 8,400 | $118.21 | D | 96,000 | I | As director of family foundation with shared voting and dispositive power |
| Common Stock | holding | — | — | — | 450 | I | As custodian under UTMA | |
| Common Stock | holding | — | — | — | 7,000 | I | As co-trustee of family trusts with shared voting and dispositive power | |
| Common Stock | holding | — | — | — | 32,875 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option - right to buyF2 | $25.49 | holding | — | — | — | May 1, 2009 | May 1, 2019 | Common Stock | 2,000 | 2,000 | D |
| Option - right to buyF2 | $26.51 | holding | — | — | — | May 1, 2008 | May 1, 2018 | Common Stock | 2,000 | 2,000 | D |
Explanation of responses
- F1Consisting of shares of Common Stock held by a family foundation organized as a nonprofit corporation, for which Mr. Lamberti serves a director. Mr. Lamberti has no pecuinary interest in the corporation's assets and disclaims beneficial ownership of the referenced shares of Common Stock.
- F2Pursuant to terms of Non-Employee Director Stock Option Plan