SEC Form 4 · accession 0001179110-15-015793
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
LeLand J Hein
Officer — Chief Operating Officer · Director
Period of report
Dec 1, 2015
Accepted (ET)
Dec 3, 2015 · 7:07 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 Stock | Dec 1, 2015 | M | 50,000 | $22.50 | A | 62,390 | D | |
| Common StockF2 | Dec 1, 2015 | S | 50,000 | $40.7393 | D | 12,390 | D | |
| Common Stock | Dec 3, 2015 | M | 50,000 | $22.50 | A | 62,390 | D | |
| Common StockF2 | Dec 3, 2015 | S | 50,000 | $39.8838 | D | 12,390 | D | |
| Common StockF3 | holding | — | — | — | 30 | I | Held by Daughter | |
| Common StockF3 | holding | — | — | — | 30 | I | Held in custodian account for Son | |
| Common StockF3 | holding | — | — | — | 150 | I | Held by Son | |
| Common StockF4 | holding | — | — | — | 7,988 | I | Held in 401(K) Plan |
Table II — derivative securities
| 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 | $22.50 | Dec 1, 2015 | M | 50,000 | D | — | May 31, 2016 | Common Stock | 50,000 | 50,000 | D |
| Employee Stock Option (Right to Buy)F1 | $22.50 | Dec 3, 2015 | M | 50,000 | D | — | May 31, 2015 | Common Stock | 50,000 | 0 | D |
| Employee Stock Option (Right to Buy)F5 | $56.00 | holding | — | — | — | — | May 31, 2023 | Common Stock | 112,500 | 112,500 | D |
| Employee Stock Option (Right to Buy)F5 | $54.00 | holding | — | — | — | — | May 31, 2021 | Common Stock | 37,500 | 37,500 | D |
| Employee Stock Option (Right to Buy)F1 | $27.00 | holding | — | — | — | — | May 31, 2018 | Common Stock | 50,000 | 50,000 | D |
| Employee Stock Option (Right to Buy)F5,F6 | $42.00 | holding | — | — | — | — | May 31, 2024 | Common Stock | 19,047 | 19,047 | D |
Explanation of responses
- F1The 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 remainder vesting and becoming exercisable proportionately each year thereafter.
- F2Includes 300 shares maintained in a self directed IRA.
- F3The reporting person disclaims beneficial ownership of these shares.
- F4Shares attributed to reporting person's account within issuer's 401(K) Plan as of December 2, 2015.
- F5The 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 remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) each year thereafter.
- F610,714 of the 29,761 options granted to the reporting person on 4/21/2015 and reported on 4/23/2015 were forfeited and cancelled for no value on July 20, 2015.