SEC Form 4 · accession 0001179110-15-014716
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary A. Polipnick
Officer — Executive Vice President
Period of report
Nov 6, 2015
Accepted (ET)
Nov 10, 2015 · 5:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000815556
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2,F3 | Nov 6, 2015 | S | 2,000 | $40.84 | D | 1,672 | I | By Trust |
| Common Stock | holding | — | — | — | 56,807 | D | ||
| Common StockF1 | holding | — | — | — | 1,735 | D | ||
| Common StockF1,F2 | holding | — | — | — | 898 | I | Held by Spouse | |
| Common StockF2 | holding | — | — | — | 1,796 | I | Held in custodian account for Daughter | |
| Common StockF2 | holding | — | — | — | 896 | I | Held in custodian account for Daughter | |
| Common StockF4 | holding | — | — | — | 6,790 | I | Held in 401(K) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares maintained in self-directed IRA.
- F2Reporting person disclaims beneficial ownership of these shares.
- F3Reporting person's spouse serves as a Trustee of a Trust for the benefit of spouse's sibling.
- F4Shares attributed to reporting person's account within issuer's 401(K) Plan as of November 9, 2015.