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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) | $ 19.22 | 02/23/2012 | M | 7,300 | (5) | 05/12/2013 | Common Stock | 7,300 | (6) | 0 | D | ||||
| Stock Option (Right to Buy) | $ 21.15 | 02/23/2012 | M | 4,700 | (7) | 05/25/2014 | Common Stock | 4,700 | (6) | 10,900 | D | ||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| DOUGHERTY ROBERT A C/O AIRGAS, INC. 259 N. RADNOR-CHESTER ROAD, SUITE 100 RADNOR, PA 19087 |
Sr. V.P. and CIO | |||
| Robert H. Young, Jr., Attorney-In-Fact for Robert A. Dougherty | 02/27/2012 | |
| **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 192 shares of Airgas, Inc. common stock acquired pursuant to Airgas, Inc.'s Employee Stock Purchase Plan ("ESPP") as of 2/23/2012, the date of the latest available statement of the reporting person's ESPP holdings. Since 12/9/2011, the date of the statement relied upon for the amount reported on the reporting person's 12/13/2011 Form 4, a total of 65 ESPP shares have been acquired in transactions exempt from Section 16(b). |
| (2) | On 7/21/2011, the reporting person transferred 5,061 shares of Airgas, Inc. common stock from his ESPP account to a brokerage account owned by him. |
| (3) | This price represents the average selling price (within a range of $81.50-$81.52) of the shares of common stock of Airgas, Inc. sold by the reporting person, as provided by the reporting person's broker. |
| (4) | The information presented is as of 2/23/2012, the date of the latest available statment of the reporting person's holdings of Airgas, Inc. common stock in his 401(k) plan. Since 12/9/2011, the date of the statement relied upon for the amount reported on the reporting person's 12/13/2011 Form 4, a total of 49 shares have been acquired in transactions exempt from Section 16(b). |
| (5) | These options became exercisable in 25% equal increments on each of 5/12/2004, 5/12/2005, 5/12/2006 and 5/12/2007. |
| (6) | Not Applicable. |
| (7) | These options became exercisable in 25% equal increments on each of 5/25/2005, 5/25/2006, 5/25/2007 and 5/25/2008. |