SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-A12G/A
AMENDMENT NO. 5
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR (g) OF THE
SECURITIES EXCHANGE ACT OF 1934
CASEY'S GENERAL STORES, INC.
(Exact name of registrant as specified in its charter)
IOWA 42-0935283
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification Number)
ONE CONVENIENCE BLVD., ANKENY, IOWA
(Address of principal executive offices)
50021
(Zip Code)
Securities to be registered pursuant to Section 12(b) of the Act:
Title of each class Name of each exchange on which
to be so registered each class is to be registered
NONE ------------------------------
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Securities to be registered pursuant to Section 12(g) of the Act:
COMMON SHARE PURCHASE RIGHTS
(Title of Class)
Item 2. EXHIBITS.
4. Third Amendment to Rights Agreement, dated as of May 5, 1999 between
Casey's General Stores, Inc. and UMB Bank, n.a.
SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act
of 1934, the registrant has duly caused this registration statement to be signed
on its behalf by the undersigned, thereunto duly authorized.
CASEY'S GENERAL STORES, INC.
Date: May 6, 1999 By: /s/ Ronald M. Lamb
-------------------
Ronald M. Lamb
Chief Executive Officer and President
EXHIBITS
Exhibit Description Page
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4 Third Amendment to Rights Agreement, 5
dated as of May 5, 1999 between
Casey's General Stores, Inc. and
UMB Bank, n.a.