0000726958-23-000004.txt : 20230104 0000726958-23-000004.hdr.sgml : 20230104 20230104172931 ACCESSION NUMBER: 0000726958-23-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230102 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRAZELL CHAD MICHAEL CENTRAL INDEX KEY: 0001618200 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 23508179 MAIL ADDRESS: STREET 1: TRACTOR SUPPLY COMPANY STREET 2: 5401 VIRGINIA WAY CITY: BRENTWOOD STATE: TN ZIP: 37027 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_167287134448428.xml FORM 4 X0306 4 2023-01-02 0 0000726958 CASEYS GENERAL STORES INC CASY 0001618200 FRAZELL CHAD MICHAEL ONE SE CONVENIENCE BOULEVARD ANKENY IA 50021 0 1 0 0 Chief HR Officer Common Stock 2023-01-02 4 M 0 1519 0 A 4996 D Common Stock 2023-01-02 4 F 0 596 224.35 D 4400 D Common Stock 131 I Voting and tender rights under 401k plan Restricted stock units 2023-01-02 4 M 0 1519 0 D Common Stock 1519.0 0 D Restricted stock units Common Stock 303.0 303 D Restricted stock units Common Stock 566.0 566 D Restricted stock units Common Stock 958.0 958 D Closing price of Casey's General Stores, Inc. Common Stock on December 30, 2022. Allocated to Mr. Frazell'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. Frazell's "make-whole award" of January 2, 2020, granted in conjunction with his commencement of employment as Casey's Chief Human Resources Officer. 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 January 2, 2020 2023-01-04