SEC Form 4/A · accession 0000726958-17-000063
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
William J Walljasper
Officer — Senior VP and CFO
Period of report
Jun 23, 2016
Accepted (ET)
Jul 18, 2017 · 3:03 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,F2,F3 | Jun 23, 2016 | F | 1,104 | $124.60 | D | 19,936 | D |
Table II — derivative securities
No Table II lines on this filing.
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.
- F2The number of shares reported is amended to include an additional 73 shares that were inadvertently omitted from the original Form 4 (1,031 shares were originally reported as withheld). Three intervening Forms 4 filed by Mr. Walljasper between his original filing and this amendment also include the 73 shares in his Table I, Column 5 share ownership following the reported transaction.
- F3Closing price of Casey's General Stores, Inc. Common Stock on June 2, 2016.