SEC Form 4 · accession 0000726958-16-000252
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert J Myers
Director
Period of report
Jun 23, 2016
Accepted (ET)
Jun 27, 2016 · 10:54 am 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,F2 | Jun 23, 2016 | F | 2,709 | $124.60 | D | 78,643 | D | |
| Common StockF3 | holding | — | — | — | 8,669 | I | Voting and tender rights under 401K plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted stock unitsF4,F5 | — | holding | — | — | — | — | — | Common Stock | 3,250 | 3,250 | D |
| Restricted stock unitsF6,F5 | — | holding | — | — | — | — | — | Common Stock | 3,250 | 3,250 | D |
Explanation of responses
- F1Shares withheld in payment of the tax withholding triggered by the previously-reported award made on June 2, 2016 under the fiscal 2016 annual incentive program.
- F2Closing price of Casey's General Stores, Inc. Common Stock on June 2, 2016.
- F3Allocated to Mr. Myers' 401k plan account as of April 30, 2016. Does not include any shares allocated by the plan trustee after that date.
- F4Pursant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017.
- F5Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock.
- F6Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018.