0001179110-17-000483.txt : 20170105 0001179110-17-000483.hdr.sgml : 20170105 20170105153854 ACCESSION NUMBER: 0001179110-17-000483 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 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: Soderberg John Lewis CENTRAL INDEX KEY: 0001607149 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 17510418 MAIL ADDRESS: STREET 1: 1757 SNOWFLAKE PLACE CITY: ONALASKA STATE: WI ZIP: 54650 4 1 edgar.xml FORM 4 - X0306 4 2017-01-03 0 0000815556 FASTENAL CO FAST 0001607149 Soderberg John Lewis 1757 SNOWFLAKE PLACE ONALASKA WI 54650 0 1 0 0 Executive Vice President Common Stock 314 I Held in custodian account for Daughter Common Stock 347 I Held in custodian account for Daughter Common Stock 329 I Held in custodain account for Son Common Stock 4791 I Held in 401(K) Plan Employee Stock Option (Right to Buy) 47 2017-01-03 4 A 0 9574 0 A 2026-12-31 Common Stock 9574 9574 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. Shares attributed to reporting person's account within the issuer's 401(K) Plan as of December 31, 2016. Reporting person disclaims beneficial ownership of these shares. John J. Milek-Attorney-in-Fact 2017-01-05