0000726958-16-000260.txt : 20160701 0000726958-16-000260.hdr.sgml : 20160701 20160701090040 ACCESSION NUMBER: 0000726958-16-000260 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160629 FILED AS OF DATE: 20160701 DATE AS OF CHANGE: 20160701 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: Jackowski Julia L CENTRAL INDEX KEY: 0001493840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 161744860 MAIL ADDRESS: STREET 1: CASEY'S GENERAL STORES, INC. STREET 2: ONE CONVENIENCE BLVD., PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 4 1 wf-form4_146737802747110.xml FORM 4 X0306 4 2016-06-29 0 0000726958 CASEYS GENERAL STORES INC CASY 0001493840 Jackowski Julia L ONE CONVENIENCE BLVD. PO BOX 3001 ANKENY IA 50021 0 1 0 0 SVP, Corp Gen Counsel Common Stock 2016-06-29 4 M 0 3000 26.92 A 21939 D Common Stock 2016-06-29 4 S 0 3000 127.75 D 18939 D Common Stock 4023 I Voting and tender rights under 401K plan Option - right to buy 26.92 2016-06-29 4 M 0 3000 0 D 2010-06-25 2017-06-25 Common Stock 3000.0 1000 D Option - right to buy 25.26 2012-06-23 2019-06-23 Common Stock 12500.0 12500 D Option - right to buy 44.39 2014-06-23 2021-06-23 Common Stock 20000.0 20000 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 Ms. Jackowski'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. Pursant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017. 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 5, 2018. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 2, 2019. William J. Noth, under POA dated June 8, 2010 2016-07-01