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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) |
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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 22 | 02/22/2006 | M | 1,000 | (4) | 05/24/2006 | Common Stock | 1,000 | (6) | 0 | D | ||||
Stock Option (Right to Buy) | $ 13.5 | 02/22/2006 | M | 2,000 | (5) | 12/10/2007 | Common Stock | 2,000 | (6) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
VISINTAINER PATRICK M C/O AIRGAS, INC. 259 N. RADNOR-CHESTER ROAD, STE. 100 RADNOR, PA 19087 |
Senior Vice President - Sales |
Dean A. Bertolino, Attorney-in-Fact for Patrick M. Visintainer | 02/24/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Includes 3,958 shares of Airgas, Inc. common stock acquired pursuant to the Airgas, Inc. 1998 Employee Stock Purchase Plan ("ESPP") as of 2/22/06, the date of the latest available statement of the reporting person's ESPP account. Since 6/22/2005, the date of the statement relied upon for the amount reported on the reporting person's 6/23/2005 Form 4, a total of 134 shares have been acquired in transactions exempt from Section 16(b) pursuant to Rule 16b-3(c). |
(2) | These shares are owned by a parent of the reporting person who does not live in the same household as the reporting person. The reporting person disclaims beneficial onwership of the securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. |
(3) | The information presented is as of 06/22/06, the date of the latest available statement of the reporting person's holding of Airgas, Inc. common stock in his 401(k) plan. |
(4) | Options were exercisable in 25% annual increments on each of 5/24/1997, 5/24/1998, and 5/24/1999, 5/24/2000. |
(5) | Options were exercisable in 25% annual increments on each of 12/10/1998, 12/10/1999, 12/10/2000, and 12/10/2001. |
(6) | Not applicable. |