0000726958-16-000198.txt : 20160606 0000726958-16-000198.hdr.sgml : 20160606 20160606161600 ACCESSION NUMBER: 0000726958-16-000198 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160602 FILED AS OF DATE: 20160606 DATE AS OF CHANGE: 20160606 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: P.O. BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 BUSINESS PHONE: 5152437611 MAIL ADDRESS: STREET 1: PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50026 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: 161698713 MAIL ADDRESS: STREET 1: CASEY'S GENERAL STORES, INC. STREET 2: ONE CONVENIENCE BLVD., PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 4 1 wf-form4_146524414783618.xml FORM 4 X0306 4 2016-06-02 0 0000726958 CASEYS GENERAL STORES INC CASY 0001493840 Jackowski Julia L ONE CONVENIENCE BLVD. PO BOX 3001 ANKENY IA 50021 0 1 0 0 SVP, Corp Gen Counsel Common Stock 2016-06-02 4 A 0 2978 0 A 17767 D Common Stock 4023 I Voting and tender rights under 401K plan Restricted stock units 2016-06-02 4 A 0 3250 0 A Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Option - right to buy 25.26 2012-06-23 2019-06-23 Common Stock 12500.0 12500 D Option - right to buy 26.92 2010-06-25 2017-06-25 Common Stock 4000.0 4000 D Option - right to buy 44.39 2014-06-23 2021-06-23 Common Stock 20000.0 20000 D Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award represents the equity component of the amount payable to Ms. Jackowski under the fiscal 2016 annual incentive program. The shares awarded are subject to a three year sale restriction. Allocated to Ms. Jackowski's KSOP account as of April 30, 2016. Does not include any shares allocated by the KSOP trustee after that date. 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 7, 2016. Pursant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018. Pursuant to terms and conditions of 2000 Stock Option Plan. Pursuant to terms and conditions of 2009 Stock Incentive Plan. William J. Noth, under POA dated June 8, 2010 2016-06-06