0000726958-21-000043.txt : 20210604 0000726958-21-000043.hdr.sgml : 20210604 20210604192133 ACCESSION NUMBER: 0000726958-21-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210602 FILED AS OF DATE: 20210604 DATE AS OF CHANGE: 20210604 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: 21997865 MAIL ADDRESS: STREET 1: CASEY'S GENERAL STORES, INC. STREET 2: ONE CONVENIENCE BLVD., PO BOX 3001 CITY: ANKENY STATE: IA ZIP: 50021 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_162284887743208.xml FORM 4 X0306 4 2021-06-02 0 0000726958 CASEYS GENERAL STORES INC CASY 0001493840 Jackowski Julia L ONE SE CONVENIENCE BLVD. ANKENY IA 50021 0 1 0 0 Chief Legal Officer, Secretary Common Stock 16089 D Common Stock 4831 I Voting and tender rights under 401k plan Restricted stock units 2021-06-02 4 A 0 788 0 A Common Stock 788.0 788 D Restricted stock units Common Stock 1687.0 1687 D Restricted stock units Common Stock 1238.0 1238 D Restricted stock units Common Stock 1100.0 1100 D Allocated to Ms. Jackowski's 401k plan account as of April 30, 2021. Does not include any shares allocated by the plan trustee after that date. Pursuant to terms and conditions of 2018 Stock Incentive Plan. This award will vest in equal installments on June 15, 2022, 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. 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 15, 2021. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2021, 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 full on June 15, 2022. Not included in the reported award amount is a target amount of performance-based restricted stock units that will vest on June 15, 2022, 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, 2021, June 15, 2022 and 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. Scott Faber, under Power of Attorney dated March 3, 2017 2021-06-03