0001179110-21-008148.txt : 20210812 0001179110-21-008148.hdr.sgml : 20210812 20210812120534 ACCESSION NUMBER: 0001179110-21-008148 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210810 FILED AS OF DATE: 20210812 DATE AS OF CHANGE: 20210812 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLORNESS DANIEL L CENTRAL INDEX KEY: 0001017427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 211166334 MAIL ADDRESS: STREET 1: FASTENAL CO STREET 2: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 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 4 1 edgar.xml FORM 4 - X0306 4 2021-08-10 0 0000815556 FASTENAL CO FAST 0001017427 FLORNESS DANIEL L 2001 THEURER BOULEVARD WINONA MN 55987 1 1 0 0 CEO and President Common Stock 2021-08-10 4 M 0 38094 21 A 237784 D Common Stock 2021-08-10 4 F 0 26897 54.9291 D 210887 D Common Stock 2021-08-10 4 M 0 61000 23 A 271887 D Common Stock 2021-08-10 4 F 0 44358 54.9196 D 227529 D Common Stock 20000 I By Family Trust Common Stock 9937 I By 401(K) Plan Employee Stock Option (Right to Buy) 21 2021-08-10 4 M 0 38094 0 D 2024-05-31 Common Stock 38094 0 D Employee Stock Option (Right to Buy) 23 2021-08-10 4 M 0 61000 0 D 2025-05-31 Common Stock 61000 199868 D The option will fully vest and become exercisable over a period of five years, with 50% of the option 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. The option was previously reported in a filing on 4/21/2016 covering 130,434 securities at an exercise price of $46 and the amounts reported were adjusted to reflect the 2-for-1 stock split on May 22, 2019. he option was previously reported in a filing on 4/24/2015 covering 19,047 securities at an exercise price of $42 and the amounts reported were adjusted to reflect the 2-for-1 stock split on May 22, 2019. These shares are held in a trust for which reporting person's spouse serves as a trustee. The reporting person disclaims beneficial ownership of these securities, and the filing of this report is not an admission that the reporting person is the beneficial owner of these securities for purposes of Section 16 or any other purpose. Shares attributed to reporting person's account within issuer's 401(K) Plan and includes an additional 495 shares acquired since the reporting person's prior holding report filed on 5/11/2020. /s/ John Milek, Attorney-in-Fact 2021-08-12