0001179110-16-020848.txt : 20160303 0001179110-16-020848.hdr.sgml : 20160303 20160303160141 ACCESSION NUMBER: 0001179110-16-020848 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160302 FILED AS OF DATE: 20160303 DATE AS OF CHANGE: 20160303 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 MAIL ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lisowski Sheryl Ann CENTRAL INDEX KEY: 0001589160 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 161481094 BUSINESS ADDRESS: BUSINESS PHONE: (507) 453-8550 MAIL ADDRESS: STREET 1: 155 WILDWOOD DRIVE CITY: WINONA STATE: MN ZIP: 55987 4 1 edgar.xml FORM 4 - X0306 4 2016-03-02 0 0000815556 FASTENAL CO FAST 0001589160 Lisowski Sheryl Ann 155 WILDWOOD DRIVE WINONA MN 55987 0 1 0 0 Interim CFO/CAO/Controller Common Stock 2016-03-02 4 M 0 5000 22.5 A 5300 D Common Stock 2016-03-02 4 S 0 5000 46.6871 D 300 D Common Stock 801 I Held by 401(K) Plan Employee Stock Option (Right to Buy) 22.5 2016-03-02 4 M 0 5000 0 D 2016-05-31 Common Stock 5000 0 D Employee Stock Option (Right to Buy) 54 2021-05-31 Common Stock 5000 5000 D Employee Stock Option (Right to Buy) 42 2024-05-31 Common Stock 41666 41666 D The options will fully vest and become exercisable over a period of eight years, with 50% of the options vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable proportionately each year thereafter. The options will fully vest and become exercisable over a period of five years, with 50% of the options vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) each year thereafter. Shares attributed to reporting person's account within issuer's 401(K) Plan as of March 2, 2016. /s/ John J. Milek, Attorney-in-Fact 2016-03-03