0001289895-12-000117.txt : 20121128 0001289895-12-000117.hdr.sgml : 20121128 20121128164335 ACCESSION NUMBER: 0001289895-12-000117 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121126 FILED AS OF DATE: 20121128 DATE AS OF CHANGE: 20121128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCCAUSLAND PETER CENTRAL INDEX KEY: 0000908893 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09344 FILM NUMBER: 121229475 MAIL ADDRESS: STREET 1: C/O AIRGAS INC STREET 2: 259 N. RADNOR-CHESTER ROAD SUITE 100 CITY: RADNOR STATE: PA ZIP: 19087 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MCCAUSLAND BONNIE F CENTRAL INDEX KEY: 0001083687 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09344 FILM NUMBER: 121229474 MAIL ADDRESS: STREET 1: C/O AIRGAS INC STREET 2: 259 N. RADNOR-CHESTER RD STE 100 CITY: RADNOR STATE: PA ZIP: 19087 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 2012-11-26 0000804212 AIRGAS INC ARG 0000908893 MCCAUSLAND PETER C/O AIRGAS, INC. 259 N. RADNOR-CHESTER RD, STE. 100 RADNOR PA 19087 1 1 1 0 Executive Chariman 0001083687 MCCAUSLAND BONNIE F ERDENHEIM FARM P.O. BOX 274 LAFAYETTE HILL PA 19444 0 0 1 0 Common Stock 2012-11-26 4 S 0 1200000 88.60 D 6806139 D Common Stock 96540 I By trusts Common Stock 48583 I By 401(k) plan Common Stock 1500 I By immediate family Represents shares of Airgas, Inc. common stock jointly owned by Peter McCausland and Bonnie McCausland, except for 15,700 shares that are directly owned by Peter McCausland and indirectly owned by Bonnie McCausland. Represents shares of Airgas, Inc. common stock held in two separate GRATs of which Peter McCausland and Bonnie McCausland are co-trustees and either he or she is a beneficiary. The information presented is as of 10/24/2012. Since 3/31/2012, the date of the statement relied upon for the amount reported on Peter McCausland's Form 5 dated 5/14/2012, a total of 418 shares of common stock have been acquired in Peter McCausland's 401(k) plan through transactions exempt under Section 16(b). Represents shares of Airgas, Inc. common stock owned directly by Bonnie McCausland and indirectly by Peter McCausland. Robert H. Young, Jr., Attorney-in-Fact for Peter McCausland 2012-11-28 Robert H. Young, Jr., Attorney-in-Fact for Bonnie F. McCausland 2012-11-28