0000726958-22-000117.txt : 20221101 0000726958-22-000117.hdr.sgml : 20221101 20221101165419 ACCESSION NUMBER: 0000726958-22-000117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221028 FILED AS OF DATE: 20221101 DATE AS OF CHANGE: 20221101 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brennan Thomas P JR CENTRAL INDEX KEY: 0001791716 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 221351187 MAIL ADDRESS: STREET 1: ONE SE CONVENIENCE BOULEVARD 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_166733604391640.xml FORM 4 X0306 4 2022-10-28 0 0000726958 CASEYS GENERAL STORES INC CASY 0001791716 Brennan Thomas P JR ONE SE CONVENIENCE BOULEVARD ANKENY IA 50021 0 1 0 0 Chief Merch. Officer Common Stock 2022-10-28 4 M 0 3163 0 A 5193 D Common Stock 2022-10-28 4 F 0 1099 231.35 D 4094 D Common Stock 133 I Voting and tender rights under 401k plan Restricted stock units 2022-10-28 4 M 0 3163 0 D Common Stock 3163.0 0 D Restricted stock units Common Stock 345.0 345 D Restricted stock units Common Stock 793.0 793 D Restricted stock units Common Stock 1350.0 1350 D Closing price of Casey's General Stores, Inc. Common Stock on October 28, 2022. Allocated to Mr. Brennan's 401k plan account as of April 30, 2022. Does not include any shares allocated by the plan trustee after that date. Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock. Pursuant to terms and conditions of 2018 Stock Incentive Plan and in accordance with the terms and conditions of Mr. Brennan's "make-whole award" of October 28, 2019, granted in conjunction with his commencement of employment as Casey's Chief Merchandising Officer. This award will vest in full on October 28, 2022. Pursuant to terms and conditions of 2018 Stock Incentive Plan. The remainder of this award will vest on June 15, 2023. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2023, 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 2018 Stock Incentive Plan. The remainder of this award will vest in equal installments on June 15, 2023 and June 15, 2024. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2024, 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 2018 Stock Incentive Plan. This award will vest in equal installments on June 15, 2023, June 15, 2024 and June 15, 2025. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2025, 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 October 17, 2019 2022-11-01