0001179110-21-010077.txt : 20211112
0001179110-21-010077.hdr.sgml : 20211112
20211112105413
ACCESSION NUMBER: 0001179110-21-010077
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211110
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
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: 211401333
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
2021-11-10
0
0000815556
FASTENAL CO
FAST
0001017427
FLORNESS DANIEL L
2001 THEURER BOULEVARD
WINONA
MN
55987
1
1
0
0
CEO and President
Common Stock
2021-11-10
4
M
0
99868
23
A
326397
D
Common Stock
2021-11-10
4
F
0
66740
58.9243
D
260657
D
Common Stock
20000
I
By Family Trust
Common Stock
9987
I
By 401(K) Plan
Employee Stock Option (Right to Buy)
23
2021-11-10
4
M
0
99868
0
D
2025-05-31
Common Stock
99868
100000
D
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 50 shares acquired since the reporting person's prior holding report filed on 8/12/2021.
This transaction consisted of a 'sell to cover' in which the reporting person exercised 99,868 derivative securities (Employee Stock Options) and sold 66,740 optioned shares to pay the cost and taxes associated with acquiring and holding 33,128 optioned shares.
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.
/s/ John Milek, Attorney-in-Fact
2021-11-12