0000726958-16-000231.txt : 20160614 0000726958-16-000231.hdr.sgml : 20160614 20160614152714 ACCESSION NUMBER: 0000726958-16-000231 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160613 FILED AS OF DATE: 20160614 DATE AS OF CHANGE: 20160614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CASEYS GENERAL STORES INC CENTRAL INDEX KEY: 0000726958 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 420935283 STATE OF INCORPORATION: IA FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: P.O. BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 BUSINESS PHONE: 5152437611 MAIL ADDRESS: STREET 1: PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lamberti Jeffrey M CENTRAL INDEX KEY: 0001429291 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 161712904 MAIL ADDRESS: STREET 1: 210 N.E. DELAWARE AVENUE STREET 2: SUITE 200 CITY: ANKENY STATE: IA ZIP: 50021 4 1 wf-form4_146593242143283.xml FORM 4 X0306 4 2016-06-13 0 0000726958 CASEYS GENERAL STORES INC CASY 0001429291 Lamberti Jeffrey M 210 N.E. DELAWARE AVENUE SUITE 200 ANKENY IA 50021 1 0 0 0 Common Stock 2016-06-13 4 S 0 4000 119.12 D 32875 D Common Stock 104400 I As director of family foundation with shared voting and dispositive power Common Stock 450 I As custodian under UTMA Common Stock 7000 I As co-trustee of family trusts with shared voting and dispositive power Option - right to buy 25.49 2009-05-01 2019-05-01 Common Stock 2000.0 2000 D Option - right to buy 26.51 2008-05-01 2018-05-01 Common Stock 2000.0 2000 D Consisting 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. Pursuant to terms of Non-Employee Director Stock Option Plan William J. Noth, under power of attorney dated March 6, 2008 2016-06-14