0000726958-16-000312.txt : 20161219 0000726958-16-000312.hdr.sgml : 20161219 20161219133508 ACCESSION NUMBER: 0000726958-16-000312 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20161219 DATE AS OF CHANGE: 20161219 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: MYERS ROBERT J CENTRAL INDEX KEY: 0001197157 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34700 FILM NUMBER: 162058500 MAIL ADDRESS: STREET 1: CASEYS GENERAL STORES INC STREET 2: ONE CONVENIENCE BLVD CITY: ANKENY STATE: IA ZIP: 50021 4 1 wf-form4_148217249493686.xml FORM 4 X0306 4 2016-12-16 0 0000726958 CASEYS GENERAL STORES INC CASY 0001197157 MYERS ROBERT J 4770 WINDSOR CIRCLE PLEASANT HILL IA 50327 1 0 0 0 Common Stock 2016-12-16 5 G 0 E 1600 0 D 78010 D Common Stock 8669 I Voting and tender rights under 401K plan Restricted stock units Common Stock 3250.0 3250 D Restricted stock units Common Stock 3250.0 3250 D Allocated to Mr. Myers' 401k plan account as of April 30, 2016. Does not include any shares allocated by the plan trustee after that date. Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017. 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 5, 2018. William J. Noth, by power of attorney dated 6/9/03 2016-12-19