SEC Form 4 · accession 0000726958-17-000067
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William J Walljasper
Officer — Senior VP and CFO
Period of report
Jul 14, 2017
Accepted (ET)
Jul 18, 2017 · 3:06 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 | holding | — | — | — | 21,552 | D | ||
| Common StockF2 | holding | — | — | — | 6,437 | 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 unitsF3,F4 | — | Jul 14, 2017 | A | 1,773 | A | — | — | Commom Stock | 1,773 | 1,773 | D |
| Option - right to buyF5 | $25.26 | holding | — | — | — | Jun 23, 2012 | Jun 23, 2019 | Common Stock | 15,300 | 15,300 | D |
| Option - right to buyF6 | $44.39 | holding | — | — | — | Jun 23, 2014 | Jun 23, 2021 | Common Stock | 20,000 | 20,000 | D |
| Restricted stock unitsF7,F4 | — | holding | — | — | — | — | — | Common Stock | 3,250 | 3,250 | D |
| Restricted stock unitsF8,F4 | — | holding | — | — | — | — | — | Common Stock | 3,250 | 3,250 | D |
Explanation of responses
- F1The number of shares reported is current and incorporates the changes and/or updates reflected in the Form 4/A and Form 5 filed by Mr. Walljasper on July 18, 2017.
- F2Allocated to Mr. Walljasper's 401k plan account as of April 30, 2017. Does not include any shares allocated by the plan trustee after that date.
- F3Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 15, 2020. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2020, but which are subject to the satisfaction of certain performance criteria other than solely the price of Casey's Common Stock; the final amount of shares earned, if any, will be reported upon vest and satisfaction of those performance measures.
- F4Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock.
- F5Pursuant to terms and conditions of 2000 Stock Option Plan (or predecessor plan).
- F6Pursuant to terms and conditions of 2009 Stock Incentive Plan.
- F7Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018.
- F8Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 2, 2019.