0001179110-21-010692.txt : 20211208 0001179110-21-010692.hdr.sgml : 20211208 20211208162350 ACCESSION NUMBER: 0001179110-21-010692 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211206 FILED AS OF DATE: 20211208 DATE AS OF CHANGE: 20211208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jansen James C CENTRAL INDEX KEY: 0001418483 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 211478961 MAIL ADDRESS: STREET 1: 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 2021-12-06 0 0000815556 FASTENAL CO FAST 0001418483 Jansen James C 2001 THEURER BLVD. WINONA MN 55987 0 1 0 0 Executive Vice President Common Stock 2021-12-06 4 M 0 25000 28 A 50176 D Common Stock 2021-12-06 4 S 0 25000 62.0243 D 25176 D Common Stock 18400 I Held in 401(K) Plan Common Stock 160 I Held in custodian account for children Employee Stock Option (Right to Buy) 28 2021-12-06 4 M 0 25000 0 D 2023-05-31 Common Stock 25000 0 D The option will fully vest and become exercisable over a period of five year 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%) on each anniversary of the grant date. The option was previously reported in a filing on 4/24/2014 as covering 12,500 securities at an exercise price of $56 and the amounts reported are adjusted to reflect a 2-for-1 stock split on 5/22/2019. Shares attributed to reporting person's account in issuer's 401(K) Plan and include an additional 523 shares acquired since his prior holdings report filed on 12/2/2020. John Milek, Attorney-in-Fact 2021-12-08