Sec Form 4 Filing - Billmeyer Sam J @ CASEYS GENERAL STORES INC - 2016-06-02

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Billmeyer Sam J
2. Issuer Name and Ticker or Trading Symbol
CASEYS GENERAL STORES INC [ CASY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Senior Vice President
(Last) (First) (Middle)
CASEY'S GENERAL STORES, INC., PO BOX 3001
3. Date of Earliest Transaction (MM/DD/YY)
06/02/2016
(Street)
ANKENY, IA50021
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/02/2016 A 3,090 ( 1 ) A $ 0 12,018 D
Common Stock 5,190 ( 2 ) I Voting and tender rights under KSOP
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted stock units ( 3 ) ( 4 ) ( 3 ) ( 3 ) Common Stock 3,250 3,250 D
Restricted stock units ( 5 ) ( 4 ) ( 5 ) ( 5 ) Common Stock 3,250 3,250 D
Restricted stock units ( 6 ) ( 4 ) ( 6 ) ( 6 ) Common Stock 3,250 3,250 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Billmeyer Sam J
CASEY'S GENERAL STORES, INC.
PO BOX 3001
ANKENY, IA50021
Senior Vice President
Signatures
William J. Noth, under Power of Attorney dated June 22, 2006 06/06/2016
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award represents the equity component of the amount payable to Mr. Billmeyer under the fiscal 2016 annual incentive program. The shares awarded are subject to a three year sale restriction.
( 2 )Allocated to Mr. Billmeyer's KSOP account as of April 30, 2016. Does not include any shares allocated by the KSOP trustee after that date.
( 3 )Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 7, 2016.
( 4 )Each restricted stock unit represents the right to receive, following vesting, one share of Common Stock.
( 5 )Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 6, 2017.
( 6 )Pursuant to terms and conditions of 2009 Stock Incentive Plan. This award will vest in full on June 5, 2018.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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