0000726958-19-000020.txt : 20190329 0000726958-19-000020.hdr.sgml : 20190329 20190329134431 ACCESSION NUMBER: 0000726958-19-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190327 FILED AS OF DATE: 20190329 DATE AS OF CHANGE: 20190329 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: 19715454 MAIL ADDRESS: STREET 1: CASEY'S GENERAL STORES, INC. STREET 2: ONE CONVENIENCE BLVD., PO BOX 3001 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: PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 BUSINESS PHONE: 515-965-6100 MAIL ADDRESS: STREET 1: PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 4 1 wf-form4_155388145043518.xml FORM 4 X0306 4 2019-03-27 0 0000726958 CASEYS GENERAL STORES INC CASY 0001493840 Jackowski Julia L ONE SE CONVENIENCE BLVD. ANKENY IA 50021 0 1 0 0 SVP, Corp Gen Counsel, Sec Common Stock 2019-03-27 4 M 0 12500 25.26 A 32944 D Common Stock 2019-03-27 4 S 0 12500 125.95 D 20444 D Common Stock 4451 I Voting and tender rights under 401k plan Option - right to buy 25.26 2019-03-27 4 M 0 12500 0 D 2012-06-23 2019-06-23 Common Stock 12500.0 0 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 1554.0 1554 D Restricted stock units Common Stock 1687.0 1687 D The price reported is a weighted average price provided by the broker. These shares were sold in multiple transactions at prices ranging from $125.50 to $126.44. Ms. Jackowski 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 Ms. Jackowski's 401k plan account as of June 30, 2018. 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 terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 2, 2019. 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 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. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 15, 2021. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2021, 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 2019-03-29