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