SEC Form 4 · accession 0001289895-16-000196

AIRGAS INC · ARG

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — VP and Controller

Period of report

May 23, 2016

Accepted (ET)

May 24, 2016 · 3:50 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 Stock^F1,F2	May 23, 2016	D	3,139	$143.00	D	0	D
Common Stock^F3	May 23, 2016	D	1,377	$143.00	D	0	I	By 401(k) Plan

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	D/I
Stock Option (Right to Buy)^F4	$43.06	May 23, 2016	D	5,200	D	—	May 19, 2017	Common Stock	5,200	D
Stock Option (Right to Buy)^F4	$62.23	May 23, 2016	D	8,000	D	—	May 25, 2018	Common Stock	8,000	D
Stock Option (Right to Buy)^F4	$66.50	May 23, 2016	D	8,000	D	—	May 17, 2019	Common Stock	8,000	D
Stock Option (Right to Buy)^F4	$91.92	May 23, 2016	D	7,200	D	—	May 8, 2020	Common Stock	7,200	D
Stock Option (Right to Buy)^F4	$102.85	May 23, 2016	D	7,000	D	—	May 21, 2021	Common Stock	7,000	D
Stock Option (Right to Buy)^F4	$104.64	May 23, 2016	D	6,300	D	—	May 20, 2022	Common Stock	6,300	D
Stock Option (Right to Buy)^F4	$103.62	May 23, 2016	D	6,300	D	—	May 19, 2023	Common Stock	6,300	D

F1Disposed of pursuant to an Agreement and Plan of Merger, dated as of November 17, 2015, among the Issuer, L'Air Liquide, S.A. and AL Acquisition Corporation, an indirect wholly owned subsidiary of Air Liquide ("Merger Agreement"), in exchange for the cash merger consideration of $143.00 per share of Airgas, Inc. common stock disposed of by the reporting person in connection with the merger.
F2Includes 249.1033 shares of Airgas, Inc. common stock acquired by the reporting person pursuant to the Airgas, Inc. Employee Stock Purchase Plan since February 6, 2015, the date relied upon for the reporting person's February 10, 2015 Form 4.
F3Represents the reporting person's interest in a unitized Airgas, Inc. common stock fund available to participants under the Airgas, Inc. 401(k) plan. The reporting person's interest fluctuates with the fund's performance. In connection with the merger, the reporting person's interest was reinvested in other investment funds available under the plan.
F4Pursuant to the Merger Agreement, each stock option outstanding on the effective date of the merger, whether vested or unvested, was canceled in exchange for a cash payment equal to the product of (x) the excess of the cash per share merger consideration ($143.00) over the exercise price of the stock option and (y) the number of shares of common stock subject to the option on the effective day of the merger.