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