0001181431-11-038196.txt : 20110627 0001181431-11-038196.hdr.sgml : 20110627 20110627110024 ACCESSION NUMBER: 0001181431-11-038196 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110623 FILED AS OF DATE: 20110627 DATE AS OF CHANGE: 20110627 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: 11932136 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: 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 4 1 rrd316229.xml FORM 4 X0303 4 2011-06-23 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 & HR Common Stock 2891 I Voting and tender rights under 401K plan Common Stock 6500 D Restricted stock units 628 D Option - right to buy 14.08 2006-06-06 2013-06-06 Common Stock 2500 2500 D Option - right to buy 20.68 2010-07-05 2015-07-05 Common Stock 10000 10000 D Option - right to buy 26.92 2010-06-25 2017-06-25 Common Stock 10000 10000 D Option - right to buy 25.26 2012-06-23 2019-06-23 Common Stock 12500 12500 D Option - right to buy 44.39 2011-06-23 2011-06-23 4 A 0 20000 0 A 2014-06-23 2021-06-23 Common Stock 20000 20000 D Allocated to Ms. Jackowski's 401k plan account as of April 30, 2011. Does not include any shares allocated by the plan trustee after that date. Pursuant to terms and conditions of 2000 Stock Option Plan. Pursuant to 2009 Stock Incentive Plan. This award, which vests in full on May 1, 2014, represents the equity component of the amount payable to Ms. Jackowski under the FY11 annual incentive plan. Pursuant to terms and conditions of 2009 Stock Incentive Plan. William J. Noth, under POA dated June 8, 2010 2011-06-27