SEC Form 4 · accession 0000726958-17-000120
CASEYS GENERAL STORES INC · CASY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey M Lamberti
Director
Period of report
Sep 28, 2017
Accepted (ET)
Oct 2, 2017 · 3:34 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 | Sep 28, 2017 | A | 1,043 | $0.00 | A | 31,885 | D | |
| Common StockF2 | holding | — | — | — | 96,000 | I | As director of family foundation with shared voting and dispositive power | |
| Common Stock | holding | — | — | — | 450 | I | As custodian under UTMA | |
| Common Stock | holding | — | — | — | 7,000 | I | As co-trustee of family trusts with shared voting and dispositive power |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Consisting of shares awarded under the 2009 Stock Incentive Plan as part of director compensation for FY2018.
- F2Consisting of shares of Common Stock held by a family foundation organized as a nonprofit corporation, for which Mr. Lamberti serves a director. Mr. Lamberti has no pecuinary interest in the corporation's assets and disclaims beneficial ownership of the referenced shares of Common Stock.
Remarks
Exhibit 24 - Power of Attorney