SEC Form 4 · accession 0000726958-17-000106
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
Sep 22, 2017
Accepted (ET)
Sep 25, 2017 · 4:06 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 Stock | Sep 22, 2017 | M | 1,000 | $25.26 | A | 8,229 | D | |
| Common StockF1 | Sep 22, 2017 | S | 1,000 | $108.01 | D | 7,229 | D | |
| Common StockF2 | holding | — | — | — | 2,014 | 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 buyF3 | $25.26 | Sep 22, 2017 | M | 1,000 | D | Jun 23, 2012 | Jun 23, 2019 | Common Stock | 1,000 | 1,500 | D |
| Option - right to buyF3 | $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 | 2,650 | 2,650 | D |
| Restricted stock unitsF7,F5 | — | holding | — | — | — | — | — | Common Stock | 1,141 | 1,141 | D |
Explanation of responses
- F1The price reported is a weighted average price provided by the broker. These shares were sold in multiple transactions at prices ranging from $107.98 to $108.07. Mr. Johnson undertakes to provide to Casey's General Store, Inc., any security holder thereof, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
- F2Allocated to Mr. Johnson'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.
- F4Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018.
- 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 2, 2019.
- F7Pursuant 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.