0001179110-21-008274.txt : 20210818 0001179110-21-008274.hdr.sgml : 20210818 20210818163136 ACCESSION NUMBER: 0001179110-21-008274 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210816 FILED AS OF DATE: 20210818 DATE AS OF CHANGE: 20210818 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heise Rita J. CENTRAL INDEX KEY: 0001554387 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 211187026 MAIL ADDRESS: STREET 1: 7329 MARINER DRIVE CITY: MAPLE GROVE STATE: MN ZIP: 55311 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 2021-08-16 0 0000815556 FASTENAL CO FAST 0001554387 Heise Rita J. 7329 MARINER DRIVE MAPLE GROVE MN 55311 1 0 0 0 Common Stock 2021-08-16 4 M 0 8900 27.50 A 28900 D Common Stock 2021-08-16 4 S 0 8900 55.6551 D 20000 D Common Stock 2021-08-16 4 M 0 7500 26 A 27500 D Common Stock 2021-08-16 4 S 0 7500 55.6592 D 20000 D Employee Stock Option (Right to Buy) 27.50 2021-08-16 4 M 0 8900 0 D 2027-12-31 Common Stock 8900 8048 D Employee Stock Option (Right to Buy) 26 2021-08-16 4 M 0 7500 0 D 2028-12-31 Common Stock 7500 7840 D The option was granted on 1/2/2018, subject to shareholder approval on 4/24/2018, to the reporting person pursuant the Fastenal Company Non-employee Director Stock Option Plan in lieu of an annual retainer of $85,000 and was immediately vested and exercisable. he option was granted on 1/2/2019 to the reporting person pursuant the Fastenal Company Non-employee Director Stock Option Plan in lieu of an annual retainer of $85,000 and was immediately vested and exercisable. These shares were previously reported in a filing on April 25, 2018 as covering 8,474 securities at an exercise price of $55 and the amounts reported are adjusted to reflect a 2-for-1 stock split on May 22, 2019. Shares maintained in a revocable trust for which reporting person and her spouse serve as Trustees and share voting and investment power. /s/ John J. Milek, Attorney-in-Fact 2021-08-18