SEC Form 5 · accession 0001289895-16-000172
AIRGAS INC · ARG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter McCausland
Officer — Executive Chairman · Director
Period of report
Mar 31, 2016
Accepted (ET)
May 6, 2016 · 2:29 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000804212
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 18, 2015 | G | 1,000,000 | — | D | 4,645,235 | D | |
| Common StockF1 | Dec 17, 2015 | G | 1,000,000 | — | D | 4,645,235 | D | |
| Common StockF2 | holding | — | — | — | 1,500 | I | By immediate family | |
| Common StockF3 | holding | — | — | — | 52,270 | I | By 401(k) plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Not applicable.
- F2Represents 1,500 shares of Airgas, Inc. common stock owned directly by his spouse and indirectly by Peter McCausland.
- F3The information presented is as of 3/31/2016, the date of the latest available statement of the reporting person's holdings of Airgas, Inc. common stock in his 401(k) plan. Since 3/31/2015, the date of the statement relied upon for the amount reported on the reporting person's Form 5 filed on 5/14/2015, a total of 912 shares of common stock have been acquired in the reporting person's 401(k) plan through transactions exempt under Section 16(b).