0001289895-12-000056.txt : 20120706 0001289895-12-000056.hdr.sgml : 20120706 20120706165240 ACCESSION NUMBER: 0001289895-12-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120508 FILED AS OF DATE: 20120706 DATE AS OF CHANGE: 20120706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CICHOCKI ANDREW R CENTRAL INDEX KEY: 0001237775 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09344 FILM NUMBER: 12951092 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AIRGAS INC CENTRAL INDEX KEY: 0000804212 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-INDUSTRIAL MACHINERY & EQUIPMENT [5084] IRS NUMBER: 560732648 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 259 N. RADNOR-CHESTER ROAD STREET 2: SUITE 100 CITY: RADNOR STATE: PA ZIP: 19087 BUSINESS PHONE: 6106875253 MAIL ADDRESS: STREET 1: 259 N. RADNOR-CHESTER ROAD STREET 2: SUITE 100 CITY: RADNOR STATE: PA ZIP: 19087 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2012-05-08 0000804212 AIRGAS INC ARG 0001237775 CICHOCKI ANDREW R C/O AIRGAS, INC. 259 N. RADNOR-CHESTER RD, STE. 100 RADNOR PA 19087 0 1 0 0 SVP - Distribution Operations Stock Option (Right to Buy) 91.92 2012-05-08 4 A 0 12700 A 2020-05-08 Common Stock 12700 12700 D Options become exercisable in 25% equal increments on each of 5/08/2013, 5/08/2014, 5/08/2015 and 5/08/2016. Not applicable. Robert H. Young, Jr., Attorney-in-Fact for Andrew R. Cichocki 2012-07-06