0000726958-17-000106.txt : 20170925 0000726958-17-000106.hdr.sgml : 20170925 20170925160640 ACCESSION NUMBER: 0000726958-17-000106 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170922 FILED AS OF DATE: 20170925 DATE AS OF CHANGE: 20170925 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Brian Joseph CENTRAL INDEX KEY: 0001676639 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 171099898 MAIL ADDRESS: STREET 1: CASEY'S GENERAL STORES, INC. STREET 2: ONE CONVENIENCE BLVD. CITY: ANKENY STATE: IA ZIP: 50021 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 4 1 wf-form4_150636998550842.xml FORM 4 X0306 4 2017-09-22 0 0000726958 CASEYS GENERAL STORES INC CASY 0001676639 Johnson Brian Joseph ONE SE CONVENIENCE BLVD. ANKENY IA 50021 0 1 0 0 SVP, Store Development Common Stock 2017-09-22 4 M 0 1000 25.26 A 8229 D Common Stock 2017-09-22 4 S 0 1000 108.01 D 7229 D Common Stock 2014 I Voting and tender rights under 401k plan Option - right to buy 25.26 2017-09-22 4 M 0 1000 0 D 2012-06-23 2019-06-23 Common Stock 1000.0 1500 D Option - right to buy 44.39 2014-06-23 2021-06-23 Common Stock 15000.0 15000 D Restricted stock units Common Stock 2500.0 2500 D Restricted stock units Common Stock 2650.0 2650 D Restricted stock units Common Stock 1141.0 1141 D The price reported is a weighted average price provided by the broker. These shares were sold in multiple transactions at prices ranging from $107.98 to $108.07. Mr. Johnson undertakes to provide to Casey's General Store, Inc., any security holder thereof, or the staff of the SEC, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. Allocated to Mr. Johnson's 401k plan account as of April 30, 2017. Does not include any shares allocated by the plan trustee after that date. Pursuant to terms and conditions of 2009 Stock Incentive Plan. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018. 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 2, 2019. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 15, 2020. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2020, but which are subject to the satisfaction of certain performance criteria other than solely the price of Casey's Common Stock; the final amount of shares earned, if any, will be reported upon vest and satisfaction of those performance measures. Scott Faber, under Power of Attorney dated March 3, 2017 2017-09-25