0001179110-16-033346.txt : 20161221
0001179110-16-033346.hdr.sgml : 20161221
20161221131311
ACCESSION NUMBER: 0001179110-16-033346
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20161220
FILED AS OF DATE: 20161221
DATE AS OF CHANGE: 20161221
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: Drazkowski William Joseph
CENTRAL INDEX KEY: 0001691831
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-16125
FILM NUMBER: 162063457
MAIL ADDRESS:
STREET 1: 806 OLYMPIC DRIVE
CITY: ONALASKA
STATE: WI
ZIP: 54650
3
1
edgar.xml
FORM 3 -
X0206
3
2016-12-20
0
0000815556
FASTENAL CO
FAST
0001691831
Drazkowski William Joseph
806 OLYMPIC DRIVE
ONALASKA
WI
54650
0
1
0
0
Executive Vice-President
Common Stock
960
D
Common Stock
626
I
Owned by father
Common Stock
1035
I
Held in 401(K) Plan
Employee Stock Option (Right to Buy)
27
2018-05-31
Common Stock
7500
D
Employee Stock Option (Right to Buy)
56
2023-05-31
Common Stock
2500
D
Employee Stock Option (Right to Buy)
42
2024-05-31
Common Stock
11904
D
Employee Stock Option (Right to Buy)
46
2025-05-31
Common Stock
2717
D
The 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.
The 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.
The shares are owned by the reporting person's father, but the reporting person maintains investment and voting authority over these shares. The reporting person disclaims beneficial ownership over these shares.
Shares are attributed to reporting person's account within issuers 401(K) Plan.
John J. Milek, Attorney-in-Fact
2016-12-21
EX-24.TXT
2
ex24draz.txt
POWER OF ATTORNEY
POWER OF ATTORNEY
I, William J. Drazkowski, hereby authorize and designate each of
John J. Milek, Aaron K. Garms, Jennifer R. Mewaldt and Reyne K. Wisecup,
signing singly, as my true and lawful attorney-in-fact to:
(1) execute for and on my behalf, in my capacity as an officer,
director and/or greater than 10% shareholder of Fastenal Company, a Minnesota
corporation (the "Company"), Forms 3, 4 and 5 in accordance with Section 16(a)
of the Securities Exchange Act of 1934 (the "Exchange Act") and the rules and
regulations promulgated thereunder;
(2) do and perform any and all acts for and on my behalf which may be
necessary or desirable to complete and execute any such Form 3, 4 or 5 and
timely file such form with the Securities and Exchange Commission, any stock
exchange or similar authority, and The NASDAQ Global Select Market; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be to my benefit,
in my best interest, or legally required of me, it being understood that the
statements executed by such attorney-in-fact on my behalf pursuant to this Power
of Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.
I hereby further grant to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as I might or could do if
personally present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted. I hereby acknowledge that the foregoing attorneys-in-fact, in serving
in such capacity at my request, are not assuming, nor is the Company or any such
attorney-in-fact's substitute or substitutes assuming, any of my
responsibilities to comply with Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until I am
no longer required to file Forms 3, 4 and 5 with respect to my holdings of and
transactions in securities issued by the Company, unless earlier revoked by me
in a signed writing delivered to the foregoing attorneys-in-fact.
Notwithstanding the foregoing, if any such attorney-in-fact hereafter ceases to
be an employee of the Company or any of its subsidiaries, this Power of Attorney
shall be automatically revoked solely as to such individual, immediately upon
such cessation, without any further action on my part.
I hereby revoke all previous Powers of Attorney that have been granted
by me in connection with my reporting obligations under Section 16 of the
Exchange Act with respect to my holdings of and transactions in securities
issued by the Company.
IN WITNESS WHEREOF, I have caused this Power of Attorney to be duly
executed as of this 6th day of December, 2016.
/s/ William J. Drazkowski
------------------------------------
Print Name: William J. Drazkowski