-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Fb7NVvsD3B0jc1IbGCTchnl2+aFtIgLuZUeGPr17TsYkfUq2xa5cSfwxAqZZ4Ffx 9yRk8VthuUh1DE3tHHCE7w== 0000804212-96-000002.txt : 19960213 0000804212-96-000002.hdr.sgml : 19960213 ACCESSION NUMBER: 0000804212-96-000002 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960212 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AIRGAS INC CENTRAL INDEX KEY: 0000804212 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-CHEMICALS & ALLIED PRODUCTS [5160] IRS NUMBER: 560732648 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38422 FILM NUMBER: 96515466 BUSINESS ADDRESS: STREET 1: 100 MATSONFORD RD STE 550 STREET 2: 5 RADNOR CORPORATE CENTER CITY: RADNOR STATE: PA ZIP: 19087 BUSINESS PHONE: 2156875253 MAIL ADDRESS: STREET 1: 5 RADNOR CORPORATE CENTER, STE 550 STREET 2: 100 MATSONFORD ROAD CITY: RADNOR STATE: PA ZIP: 19087 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MCCAUSLAND PETER CENTRAL INDEX KEY: 0000908893 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 232429788 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: AIRGAS MANAGEMENT INCFIVE RADNOR CORPO STREET 2: RATE CENTER SUITE 550 100 MATSONFORD RD CITY: RADNOR STATE: PA ZIP: 19087 MAIL ADDRESS: STREET 1: 5 RADNOR CORPORATE CENTER STREET 2: 100 MATSONFORD ROAD SUITE 550 CITY: RADNOR STATE: PA ZIP: 19087 SC 13G/A 1 AMENDED SCHEDULE 13G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 5)* AIRGAS, INC. ______________________________________________ (Name of Issuer) COMMON STOCK ______________________________________________ (Title of Class of Securities) 009363 10 2 __________________________ (CUSIP Number) Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent of less of such class). (See Rule 13d-7). *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following page(s)) Page 1 of 5 pages 2 CUSIP No. 009363 10 2 13G Page 2 of 5 pages ___________ __ __ _________________________________________________________________ _____________ 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Peter McCausland _________________________________________________________________ _____________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] _________________________________________________________________ _____________ 3. SEC USE ONLY _________________________________________________________________ _____________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION United States _________________________________________________________________ _____________ 5. SOLE VOTING POWER 3,485,841 ___________________________________________________________ NUMBER OF 6. SHARED VOTING POWER SHARES BENEFICIALLY 1,207,406 OWNED BY ___________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING PERSON 3,485,841 WITH ___________________________________________________________ 8. SHARED DISPOSITIVE POWER 1,207,406 _________________________________________________________________ _____________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,693,247 _________________________________________________________________ _____________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] _________________________________________________________________ _____________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 14.1% _________________________________________________________________ _____________ 12. TYPE OF REPORTING PERSON* IN _________________________________________________________________ _____________ 3 CUSIP No. 009363 10 2 13G Page 3 of 5 pages ___________ __ __ _________________________________________________________________ _____________ Item 1(a) Name of Issuer ______________ Airgas, Inc. Item 1(b) Address of Issuer's Principal Executive Offices _______________________________________________ Airgas, Inc. Five Radnor Corporate Center, Suite 550 100 Matsonford Road Radnor, Pennsylvania 19087 Item 2(a) Name of Person Filing _____________________ Peter McCausland Item 2(b) Address of Principal Business Office, or, if none, Residence ____________________________________________________________ Airgas, Inc. Five Radnor Corporate Center Suite 550 100 Matsonford Road Radnor, Pennsylvania 19087 Item 2(c) Citizenship ___________ United States Item 2(d) Title of Class of Securities ____________________________ Common Stock, par value $.01 per share Item 2(e) CUSIP Number ___________ 009363 10 2 4 Item 3 Not Applicable Item 4 Ownership _________ (a) and (b) Peter McCausland beneficially owned an aggregate of 4,693,247 shares of the issuer's Common Stock, or approximately 14.1% of the shares outstanding as of December 31, 1995, of which 401,000 shares were issuable upon exercise of employee stock options and 60,040 were issuable upon exercise of Common Stock Purchase Warrants. (c) Peter McCausland had sole power to vote or to direct the vote, and sole power to dispose or to direct the disposition of, 3,485,841 shares of the issuer's Common Stock, of which 401,000 shares were issuable upon exercise of employee stock options. Mr. McCausland had shared power to vote or to direct the vote, and/or shared power to dispose or to direct the disposition of, 1,207,406 shares of the Common Stock, which included 45,279 shares held by a charitable foundation (the "Foundation") of which Mr. McCausland is an officer and director, 60,040 shares which are issuable upon exercise of Common Stock Purchase Warrants and 15,831 shares which are held under the issuer's 401(k)plan. Item 5 Ownership of Five Percent or Less of a Class ____________________________________________ Not applicable Item 6 Ownership of More than Five Percent on Behalf of Another Person _______________________________________________________________ No other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, the issuer's shares which are the subject of this Amendment to Schedule 13G, except that with respect to 1,184,278 shares members of Mr. McCausland's family share with Mr. McCausland the right, and with respect to 45,279 shares the Foundation has the exclusive right, to receive the dividends from and the proceeds of sale. Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company ___________________________________________________________________ Not Applicable Item 8 Identification and Classification of Members of the Group _________________________________________________________ Not Applicable Item 9 Notice of Dissolution of Group ______________________________ Not Applicable 5 Item 10 Certification _____________ Not Applicable Signature After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 12, 1996 __________________________________ Date /s/Peter McCausland __________________________________ Signature Peter McCausland, Chairman and CEO __________________________________ Name/Title -----END PRIVACY-ENHANCED MESSAGE-----