0001179110-12-006984.txt : 20120419 0001179110-12-006984.hdr.sgml : 20120419 20120419190917 ACCESSION NUMBER: 0001179110-12-006984 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120417 FILED AS OF DATE: 20120419 DATE AS OF CHANGE: 20120419 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: Jansen James C CENTRAL INDEX KEY: 0001418483 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 12769299 MAIL ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 4 1 edgar.xml FORM 4 - X0305 4 2012-04-17 0 0000815556 FASTENAL CO FAST 0001418483 Jansen James C 2001 THEURER BLVD. WINONA MN 55987 0 1 0 0 Executive Vice President Common Stock 11288 D Common Stock 80 I Custodian for minor children Common Stock 2611 I By 401(K) Plan Employee Stock Option (Right to Buy) 54 2012-04-17 4 A 0 37500 0 A 2021-05-31 Common Stock 37500 37500 D Employee Stock Option (Right to Buy) 27 2018-05-31 Common Stock 50000 50000 D Employee Stock Option (Right to Buy) 22.50 2016-05-31 Common Stock 100000 100000 D The options will fully vest and become exercisable over a period of five years, with 50% of the option vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10% respectively) on each anniversary of the date of grant of the option occurring after the initial vesting date. The options will fully vest and become exercisable over a period of eight years, with 50% of the option vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable proportionately on each anniversary of the date of grant of the option occurring after the initial vesting date. Shares attributed to reporting person's account within issuer's 401(K) Plan as of December 31, 2012. John Milek, Attorney-in-Fact 2012-04-19