SEC Form 4 · accession 0001289895-16-000167
AIRGAS INC · ARG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Pamela J Claypool
Officer — Division President - North
Period of report
Mar 31, 2016
Accepted (ET)
Apr 4, 2016 · 5:38 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 | — | Mar 31, 2016 | A | 0 | A | — | — | Common Stock | 0 | 76 | D |
Explanation of responses
- F1Acquired pursuant to Airgas, Inc.'s deferred compensation plan as a result of the reinvestment under the plan of dividends declared and paid with respect to shares of Airgas, Inc. common stock underlying the phantom stock.
- 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 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 her phantom stock account into an alternative investment account under the plan at any time. In addition, as of the effective time of the merger with Air Liquide, S.A., each share of phantom stock will be converted into a notional investment in cash, based on a price per share of Airgas, Inc. common stock equal to the merger consideration, and deemed reinvested in other investment funds available under the plan.
- 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 the date of the transaction.