-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MWaYzC2hJ0JsXtz1vCQoGtbdl/8FSPvYaR7G0bCc6RiLpy5BRSXWjTbZVZsy8cX8 tAKLXlVgZZzkr4hoCbYh6g== 0001179110-03-008453.txt : 20031006 0001179110-03-008453.hdr.sgml : 20031006 20031006103153 ACCESSION NUMBER: 0001179110-03-008453 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031002 FILED AS OF DATE: 20031006 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIERLIN ROBERT A CENTRAL INDEX KEY: 0000901066 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 03929025 BUSINESS ADDRESS: STREET 1: 2001 THEURER BOULEVARD STREET 2: P O BOX 978 CITY: WINONA STATE: MN ZIP: 55987 BUSINESS PHONE: 507-454-5374 MAIL ADDRESS: STREET 1: FASTENAL CO 2001 THEURER BOULEVARD STREET 2: P O BOX 978 CITY: WINONA STATE: MN ZIP: 55987 4 1 edgar.xml FORM 4 - X0201 4 2003-10-02 0 0000815556 FASTENAL CO FAST 0000901066 KIERLIN ROBERT A 2001 THEURER BLVD. WINONA MN 55987 1 0 0 0 Common Stock 2003-10-02 4 X 0 600 27.50 D 6342012 D Common Stock 2003-10-03 4 X 0 1360 27.50 D 6340652 D Call Options (obligation to sell) 27.50 2003-10-02 4 X 0 600 0 D 2003-07-01 2003-12-31 Common Stock 600 0 D Call Options (obligation to sell) 27.50 2003-10-03 4 X 0 1360 0 D 2003-07-01 2003-12-31 Common Stock 1360 0 D In 2000, the reporting person adopted a stock option plan for employees of the issuer and its subsidiaries (the "Plan") pursuant to which the reporting person has granted to such employees, in January 2000, January 2001 and January 2002, options to purchase shares of issuer common stock owned by the reporting person. No premium or other consideration was received by the reporting person in connection with the grant of the options. In general, each of the options granted under the Plan in January 2000 or January 2001 that has not previously expired or terminated will expire on, respectively, December 31, 2002 and December 31, 2003, and each of the options granted under the Plan in January 2002 that has not previously expired or terminated will expire on November 30, 2004. Each of the options vests and becomes exercisable six months prior to the scheduled expiration date of that option. If the holder of an option ceases to be employed by the issuer or one of its subsidiaries (other than as a result of death) prior to vesting of the option, the option will expire at the time employment is terminated. If the holder of an option ceases to be employed by the issuer or one of its subsidiaries (other than as a result of death) after vesting of the option, the option will expire on the earlier of the scheduled expiration date or 90 days after the date employment is terminated. This reports the exercise of options granted in January 2001 under the Plan. Reporting person's spouse owns an additional 200 shares of common stock. The reporting person disclaims beneficial ownership of these shares. John Milek, Attorney-in-Fact 2003-10-06 -----END PRIVACY-ENHANCED MESSAGE-----