0000726958-23-000006.txt : 20230118 0000726958-23-000006.hdr.sgml : 20230118 20230118133720 ACCESSION NUMBER: 0000726958-23-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230115 FILED AS OF DATE: 20230118 DATE AS OF CHANGE: 20230118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: REBELEZ DARREN M CENTRAL INDEX KEY: 0001484697 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 23533922 MAIL ADDRESS: STREET 1: 1722 ROUTH STREET STREET 2: SUITE 1000 CITY: DALLAS STATE: TX ZIP: 75201-2502 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_167406702791015.xml FORM 4 X0306 4 2023-01-15 0 0000726958 CASEYS GENERAL STORES INC CASY 0001484697 REBELEZ DARREN M ONE SE CONVENIENCE BOULEVARD ANKENY IA 50021 1 1 0 0 President and CEO Common Stock 2023-01-15 4 M 0 1666 0 A 38882 D Common Stock 2023-01-15 4 F 0 521 224.77 D 38361 D Common Stock 263 I Voting and tender rights under 401k plan Restricted stock units 2023-01-15 4 M 0 1666 0 D Common Stock 1666.0 0 D Restricted stock units Common Stock 2094.0 2094 D Restricted stock units Common Stock 4157.0 4157 D Restricted stock units Common Stock 7510.0 7510 D Closing price of Casey's General Stores, Inc. Common Stock on January 13, 2023. Allocated to Mr. Rebelez'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. Represents the remaining amount of restricted stock units that were earned upon the prior achievement of the performance criteria pursuant to the terms and conditions of Mr. Rebelez's "special strategic grant" of December 23, 2019. 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 June 24, 2019 2023-01-18