-----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, Qrq7wHyupZBdrGeGY7fu5lun9T1HzGX7yX5uDz/3s5ozUAi1BvuucYhaRRUHJ3kU jjeSPsGGsyCatYCB703LpQ== 0001179110-10-001055.txt : 20100114 0001179110-10-001055.hdr.sgml : 20100114 20100114155919 ACCESSION NUMBER: 0001179110-10-001055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100107 FILED AS OF DATE: 20100114 DATE AS OF CHANGE: 20100114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOSTOMSKI MICHAEL M CENTRAL INDEX KEY: 0000901070 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 10527687 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 4 1 edgar.xml FORM 4 - X0303 4 2010-01-07 0 0000815556 FASTENAL CO FAST 0000901070 GOSTOMSKI MICHAEL M 1666 VALLEY VIEW DRIVE WINONA MN 55987 1 0 0 0 Common Stock 2010-01-07 5 G 0 E 283 45.78 A 2223 D Common Stock 2009-01-07 5 G 0 E 283 45.78 A 2223 I See Footnote 2 The reporting person holds an additional 398,904 shares in the reporting person's revocable living trust for which the reporting person has voting and investment power. An additional 22,000 shares are held in Trusts for which the reporting person and reporting person's spouse share voting and investment power. The shares reported are owned by the reporting person's spouse. The reporting person's spouse holds an additional 249,300 shares in a revocable living trust for which the reporting person's spouse has voting and investment power. The reporting person disclaims beneficial ownership of the shares owned by his spouse and held by the spouse's revocable living trust. /s/ John Milek, Attorney-in-Fact 2010-01-13 -----END PRIVACY-ENHANCED MESSAGE-----