SEC Form 4 · accession 0001179110-15-006554

FASTENAL CO · FAST

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Vice President

Period of report

Apr 21, 2015

Accepted (ET)

Apr 23, 2015 · 5:32 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000815556

Table I — non-derivative securities

Security	Date	Code	Shares	A/D	Owned after	D/I	Nature of ownership
Common Stock^F3	holding	—	—	—	339	I	Held in custodian account for Daughter
Common Stock^F3	holding	—	—	—	307	I	Held in custodian account for Daughter
Common Stock^F3	holding	—	—	—	322	I	Held in custodian account for Son
Common Stock^F4	holding	—	—	—	4,358	I	Held in 401(K) Plan

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (Right to Buy)^F1	$42.00	Apr 21, 2015	A	10,714	A	—	May 31, 2024	Common Stock	10,714	10,714	D
Common Stock^F1	$56.00	holding	—	—	—	—	May 31, 2023	Common Stock	30,000	30,000	D
Employee Stock Option (Right to Buy)^F2	$54.00	holding	—	—	—	—	May 31, 2021	Common Stock	10,000	10,000	D
Employee Stock Option (Right to Buy)^F2	$22.50	holding	—	—	—	—	May 31, 2016	Common Stock	35,000	35,000	D

F1The options will fully vest and become exercisable over a period of five years, with 50% of the options 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.
F2The options will fully vest and become exercisable over a period of eight years, with 50% of the options vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable proportionately each year thereafter.
F3Reporting person disclaims beneficial ownership of these shares.
F4Shares attributed to the reporting person's account with issuer's 401(K) Plan as of April 21, 2015.