0000726958-17-000020.txt : 20170331 0000726958-17-000020.hdr.sgml : 20170331 20170331150624 ACCESSION NUMBER: 0000726958-17-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 5 CONFORMED PERIOD OF REPORT: 20170329 FILED AS OF DATE: 20170331 DATE AS OF CHANGE: 20170331 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: HANDLEY TERRY W CENTRAL INDEX KEY: 0001197447 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 17729937 MAIL ADDRESS: STREET 1: 8661 N E 108TH AVE CITY: BONDURANT STATE: IA ZIP: 50035 4 1 wf-form4_149098716818611.xml FORM 4 X0306 4 2017-03-29 0 0000726958 CASEYS GENERAL STORES INC CASY 0001197447 HANDLEY TERRY W ONE CONVENIENCE BLVD. PO BOX 3001 ANKENY IA 50021 1 1 0 0 President & CEO Common Stock 2017-03-29 5 G 0 E 230 0 D 18985 D Common Stock 11396 I Voting and tender rights under 401k plan Option - right to buy 25.26 2012-06-23 2019-06-23 Common Stock 5000.0 5000 D Option - right to buy 44.39 2014-06-23 2021-06-23 Common Stock 20000.0 20000 D Restricted stock units Common Stock 10000.0 10000 D Restricted stock units Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Allocated to Mr. Handley's 401k plan account as of April 30, 2016. Does not include any shares allocated by the plan trustee after that date. Pursuant to terms and conditions of 2000 Stock Option Plan. Pursuant to terms and conditions of 2009 Stock Incentive Plan. Pursuant to a Restricted Stock Units Agreement dated as of April 12, 2016, executed in conjunction with Mr. Handley's employment agreement of the same date. These units vest over a 5-year period, commencing on May 1, 2017 and thereafter on each May 1 of the following 4 years, at the rate of 2,000 units (20% of the total units awarded) per year. Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 2, 2019. Exhibit 24 - Power of Attorney Scott Faber, under Power of Attorney dated March 3, 2017 2017-03-31 EX-24 2 powerofattorneyterrywhan.htm POA (HANDLEY) powerofattorneyterrywhan
Exhibit 24 1 LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS Know all by these presents, that the undersigned hereby makes, constitutes and appoints each of William Noth, Scott Faber and/or James Pistillo, each acting individually, as the undersigned’s true and lawful attorney-in-fact, with full power and authority as hereinafter described on behalf of and in the name, place and stead of the undersigned to: (1) prepare, execute, acknowledge, deliver and file Forms 3, 4, and 5 (including any amendments thereto) with respect to the Common Stock of Casey's General Stores Inc., an Iowa corporation (the "Company"), with the United States Securities and Exchange Commission, any national securities exchanges and the Company, as considered necessary or advisable under Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations promulgated thereunder, as amended from time to time (the "Exchange Act"); (2) seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company’s securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to the undersigned and approves and ratifies any such release of information; and (3) perform any and all other acts which in the discretion of such attorney-in-fact are necessary or desirable for and on behalf of the undersigned in connection with the foregoing. The undersigned acknowledges that: (1) this Limited Power of Attorney authorizes, but does not require, each such attorney-in-fact to act in their discretion on information provided to such attorney-in-fact without independent verification of such information; (2) any documents prepared and/or executed by either such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney will be in such form and will contain such information and disclosure as such attorney-in-fact, in his or her discretion, deems necessary or desirable;


 
2 (3) neither the Company nor either of such attorneys-in-fact assumes (i) any liability for the undersigned’s responsibility to comply with the requirement of the Exchange Act, (ii) any liability of the undersigned for any failure to comply with such requirements, or (iii) any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and (4) this Limited Power of Attorney does not relieve the undersigned from responsibility for compliance with the undersigned's obligations under the Exchange Act, including without limitation the reporting requirements under Section 16 of the Exchange Act. The undersigned hereby gives and grants each of the foregoing attorneys-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary or appropriate to be done in and about the foregoing matters as fully to all intents and purposes as the undersigned might or could do if present, hereby ratifying all that each such attorney-in-fact of, for and on behalf of the undersigned, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney. This Limited Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to each such attorney-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Limited Power of Attorney to be executed as of this 3rd day of March, 2017. /s/ Terry W. Handley Print Name: Terry W. Handley


 
3 STATE OF IOWA ) COUNTY OF POLK ) On this 3rd day of March, 2017, Terry W. Handley personally appeared before me, and acknowledged that he/she executed the foregoing instrument for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. /s/ Amy L. Duffy Notary Public My Commission Expires: 4-27-17 [SEAL] 01324287-1\10281-014


 
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