0001179110-16-023274.txt : 20160421 0001179110-16-023274.hdr.sgml : 20160421 20160421152622 ACCESSION NUMBER: 0001179110-16-023274 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160419 FILED AS OF DATE: 20160421 DATE AS OF CHANGE: 20160421 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: Hein LeLand J CENTRAL INDEX KEY: 0001418484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 161583905 MAIL ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 4 1 edgar.xml FORM 4 - X0306 4 2016-04-19 0 0000815556 FASTENAL CO FAST 0001418484 Hein LeLand J 2001 THEURER BLVD. WINONA MN 55987 0 1 0 0 Senior EVP Common Stock 2016-04-20 5 G 0 E 1100 0 D 11290 D Common Stock 30 I Held by Daughter Common Stock 30 I Held in custodian account for Son Common Stock 150 I Held by Son Common Stock 7915 I Held in 401(K) Plan Employee Stock Option (Right to Buy) 46 2016-04-19 4 A 0 65217 0 A 2025-05-31 Common Stock 65217 65217 D Employee Stock Option (Right to Buy) 27 2018-05-31 Common Stock 50000 50000 D Employee Stock Option (Right to Buy) 54 2021-05-31 Common Stock 37500 37500 D Employee Stock Option (Right to Buy) 56 2023-05-31 Common Stock 12500 12500 D Employee Stock Option (Right to Buy) 42 2024-05-31 Common Stock 19047 19047 D These options will fully vest and become exercisable over a period of five years, with 50% vesting and becoming exercisable halfway through the relevant vesting period, and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) each year thereafter. These options will fully vest and become exercisable over a period of eight years, with 50% vesting and becoming exercisable halfway through the relevant vesting period, and the remainder vesting and becoming exercisable proportionately each year thereafter. Of the 112,500 options originally granted to the reporting person, 100,000 options were forfeited effective on January 1, 2016, in accordance with the issuer's stock option plan, when Mr. Hein was reassigned to a new position. Includes 300 shares maintained in a self directed IRA. The reporting person disclaims beneficial ownership of these shares. Shares attributed to reporting person's account within issuer's 401(K) Plan as of April 20, 2016. John Milek, Attorney-in-Fact 2016-04-21