0001179110-12-006992.txt : 20120419 0001179110-12-006992.hdr.sgml : 20120419 20120419195357 ACCESSION NUMBER: 0001179110-12-006992 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: Camp Michael Scott CENTRAL INDEX KEY: 0001510118 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 12769337 MAIL ADDRESS: STREET 1: 25024 COUNTY ROAD 9 CITY: WINONA STATE: MN ZIP: 55987 4 1 edgar.xml FORM 4 - X0305 4 2012-04-17 0 0000815556 FASTENAL CO FAST 0001510118 Camp Michael Scott 25024 COUNTY ROAD 9 WINONA MN 55987 0 1 0 0 Executive Vice President Common Stock 6376 D Common Stock 9544 I Held by 401(K) Plan Employee Stock Option (Right to Buy) 54 2012-04-17 4 A 0 25000 0 A 2021-05-31 Common Stock 25000 25000 D Employee Stock Option (Right to Buy) 22.50 2016-05-31 Common Stock 40000 40000 D Employee Stock Option (Right to Buy) 30 2019-05-31 Common Stock 60000 60000 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 though 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 occuring 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 though 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 occuring after the initial vesting date. Title of Derivative Security was incorrectly expressed as 'Common Stock' on the Form 3 filed on 1/18/2011. Shares jointly owned with reporting person's spouse. Shares attributed to reporting persons account with issuers 401(K) Plan as of 12/31/2011. /s/ John J. Milek, Attorney-in-Fact 2012-04-19