FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 07/01/2011 |
3. Issuer Name and Ticker or Trading Symbol
AIRGAS INC [ ARG ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 313(1) | D | |
Common Stock | 994(2) | I | By 401(k) plan |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | (3) | 05/06/2012 | Common Stock | 400 | $16.9 | D | |
Stock Option (Right to Buy) | (4) | 03/05/2014 | Common Stock | 500 | $21.53 | D | |
Stock Option (Right to Buy) | (5) | 05/25/2014 | Common Stock | 1,550 | $23.91 | D | |
Stock Option (Right to Buy) | (6) | 05/23/2014 | Common Stock | 4,400 | $36.17 | D | |
Stock Option (Right to Buy) | (7) | 05/24/2015 | Common Stock | 4,400 | $26 | D | |
Stock Option (Right to Buy) | (8) | 05/08/2015 | Common Stock | 5,000 | $43.62 | D | |
Stock Option (Right to Buy) | (9) | 05/20/2016 | Common Stock | 9,300 | $60.84 | D | |
Stock Option (Right to Buy) | (10) | 05/19/2017 | Common Stock | 11,800 | $43.06 | D | |
Stock Option (Right to Buy) | (11) | 05/25/2018 | Common Stock | 8,300 | $62.23 | D | |
Stock Option (Right to Buy) | (12) | 05/17/2019 | Common Stock | 8,000 | $66.5 | D |
Explanation of Responses: |
1. Includes 313 shares of Airgas, Inc. common stock acquired pursuant to Airgas, Inc.'s Employee Stock Purchase Plan ("ESPP") as of 11/14/2011, the date of the latest available statement of the reporting person's ESPP holdings. |
2. The information presented is as of 11/14/2011, the date of the latest available statement of the reporting person's holdings of Airgas, Inc. common stock in his 401(k) plan. |
3. These options became exercisable in 25% equal increments on each of 5/6/2003, 5/6/2004, 5/6/2005 and 5/6/2006. |
4. These options became exercisable in 25% equal increments on each of 3/5/2005, 3/5/2006, 3/5/2007 and 3/5/2008. |
5. These options became exercisable in 25% equal increments on each of 5/25/2005, 5/25/2006, 5/25/2007 and 5/25/2008. |
6. These options became exercisable in 25% equal increments on each of 5/23/2007, 5/23/2008, 5/23/2009 and 5/23/2010. |
7. These options became exercisable in 25% annual increments on each of 5/24/2006, 5/24/2007, 5/24/2008 and 5/24/2009. |
8. These options became exercisable in 25% annual increments on each of 5/8/2008, 5/8/2009, 5/8/2010 and 5/8/2011. |
9. These options have or will become exercisable, as applicable, in 25% annual increments on each of 5/20/2009, 5/20/2010, 5/20/2011 and 5/20/2012. |
10. These options have or will become exercisable, as applicable, in 25% equal increments on each of 5/19/2010, 5/19/2011, 5/19/2012 and 5/19/2013. |
11. These options have or will become exercisable, as applicable, in 25% equal increments on each of 5/25/2011, 5/25/2012, 5/25/2013 and 5/25/2014. |
12. These options will become exercisable in 25% annual increments on each of 5/17/2012, 5/17/2013, 5/17/2014 and 5/17/2015. |
Remarks: |
Robert H. Young, Jr., Attorney-in-Fact for Terry L. Lodge | 11/30/2011 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |