SEC Form 4 · accession 0000726958-16-000254
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Brian Joseph Johnson
Officer — SVP, Store Development
Period of report
Jun 23, 2016
Accepted (ET)
Jun 27, 2016 · 10:56 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 | 525 | $124.60 | D | 5,962 | D | |
| Common StockF3 | holding | — | — | — | 1,851 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option - right to buy | $25.26 | holding | — | — | — | Jun 23, 2012 | Jun 23, 2019 | Common Stock | 2,500 | 2,500 | D |
| Option - right to buy | $44.39 | holding | — | — | — | Jun 23, 2014 | Jun 23, 2021 | Common Stock | 15,000 | 15,000 | D |
| Restricted stock unitsF4,F5 | — | holding | — | — | — | — | — | Common Stock | 2,500 | 2,500 | D |
| Restricted stock unitsF6,F5 | — | holding | — | — | — | — | — | Common Stock | 2,500 | 2,500 | D |
| Restricted stock unitsF7,F5 | — | holding | — | — | — | — | — | Common Stock | 2,650 | 2,650 | D |
Explanation of responses
- F1Shares withheld in payment of the tax withholding triggered by an earlier 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. Johnson's 401k plan account as of April 30, 2016. Does not include any shares allocated by the plan trustee after that date.
- F4Pursuant 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.
- F7Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 2, 2019.