SEC Form 5 · accession 0001289895-15-000039
AIRGAS INC · ARG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John P Clancey
Director
Period of report
Mar 31, 2015
Accepted (ET)
May 14, 2015 · 5:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000804212
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom StockF1,F4,F2,F3 | — | Apr 4, 2014 | A | 122 | A | — | — | Common Stock | 122 | 2,035 | D |
Explanation of responses
- F1Acquired pursuant to Airgas, Inc.'s deferred compensation plan as a result of the deferral by the reporting person of director's compensation.
- F2Each share of phantom stock represents the right to receive the cash value of one share of Airgas, Inc. common stock.
- F3Shares of phantom stock are payable in cash following the reporting person's termination of service as a director with Airgas, Inc. or as determined by the reporting person in accordance with the terms and conditions of the plan. The reporting person may transfer his phantom stock account into an alternative investment account under the plan at any time.
- F4Determined based on the dollar value of the reporting person's deferred compensation plan account and the closing price per share of Airgas, Inc. common stock on March 31, 2015.