0001104659-15-053644.txt : 20150728 0001104659-15-053644.hdr.sgml : 20150728 20150728093325 ACCESSION NUMBER: 0001104659-15-053644 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150724 FILED AS OF DATE: 20150728 DATE AS OF CHANGE: 20150728 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FASTENAL CO CENTRAL INDEX KEY: 0000815556 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-BUILDING MATERIALS, HARDWARE, GARDEN SUPPLY [5200] IRS NUMBER: 410948415 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 BUSINESS PHONE: 5074545374 MAIL ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Polipnick Gary A. CENTRAL INDEX KEY: 0001555049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 151008478 MAIL ADDRESS: STREET 1: 2413 ADVANCE ROAD CITY: MADISON STATE: WI ZIP: 53718 4 1 a4.xml 4 X0306 4 2015-07-24 0 0000815556 FASTENAL CO FAST 0001555049 Polipnick Gary A. 2413 ADVANCE ROAD MADISON WI 53718 0 1 0 0 Executive Vice President Common Stock 2015-07-24 4 P 0 2500 40.03 A 56807 D Common Stock 1735 D Common Stock 898 I Held by Spouse Common Stock 1796 I Held in custodian account for Daughter Common Stock 896 I Held in custodian account for Daughter Common Stock 3672 I By Trust Common Stock 6740 I Held in 401(K) Plan Shares maintained in self-directed IRA. Reporting person disclaims beneficial ownership of these shares. Reporting person's spouse serves as a Trustee of a Trust for the benefit of spouse's sibling. Shares attributed to reporting person's account within issuer's 401(K) Plan as of July 24, 2015. /s/ John J. Milek, Attorney-in-Fact 2015-07-28