0001179110-13-001622.txt : 20130201
0001179110-13-001622.hdr.sgml : 20130201
20130201141548
ACCESSION NUMBER: 0001179110-13-001622
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121231
FILED AS OF DATE: 20130201
DATE AS OF CHANGE: 20130201
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: OBERTON WILLARD D
CENTRAL INDEX KEY: 0001036295
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16125
FILM NUMBER: 13566127
MAIL ADDRESS:
STREET 1: 2001 THEURER BLVD
CITY: WINONA
STATE: MN
ZIP: 55987
5
1
edgar.xml
FORM 5 -
X0306
5
2012-12-31
0
0
0
0000815556
FASTENAL CO
FAST
0001036295
OBERTON WILLARD D
2001 THEURER BOULEVARD
WINONA
MN
55987
1
1
0
0
CEO
Common Stock
2001-12-31
5
G
0
L
80
0
D
117440
D
Common Stock
2009-04-30
5
G
0
6399
0
D
224839
D
Common Stock
2012-01-25
5
G
0
1800
0
D
503249
D
Common Stock
2012-04-20
5
G
0
1000
0
D
502249
D
Common Stock
2012-12-26
5
G
0
112500
0
D
389749
D
Common Stock
2012-12-26
5
G
0
7500
0
D
129412
I
Owned by Spouse
Common Stock
653
I
Held by 401(K) Plan
The amounts reflect securities held as of 12/31/2001. The 80 shares gifted in 2001 have been incorrectly included in subsequent reports filed by the reporting person since the date of the gift and such reported shares were split in 2002, 2005 and 2011, resulting in 640 shares over-reported by the reporting person as of the end of fiscal year 2012.
Amendment to a Form 5 filed for the reporting person on 2/04/2010. The amounts reflect security amounts as of 12/31/2009. The Form 5 filed on 2/04/2010 reporting the transaction on 4/30/2009 inaccurately stated the gift amount as 6400 shares, as opposed to 6399 shares.
Reporting person disclaims beneficial ownership of these shares.
Shares attributed to reporting person's account within issuer's 401(K) Plan as of 12/31/2012.
/s/ John Milek, Attorney-in-Fact
2013-02-01