SEC Form 4 · accession 0001179110-16-023274
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
LeLand J Hein
Officer — Senior EVP
Period of report
Apr 19, 2016
Accepted (ET)
Apr 21, 2016 · 3:26 pm EDT
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 StockF4 | Apr 20, 2016 | G | 1,100 | $0.00 | D | 11,290 | D | |
| Common StockF5 | holding | — | — | — | 30 | I | Held by Daughter | |
| Common StockF5 | holding | — | — | — | 30 | I | Held in custodian account for Son | |
| Common StockF5 | holding | — | — | — | 150 | I | Held by Son | |
| Common StockF6 | holding | — | — | — | 7,915 | 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 | $46.00 | Apr 19, 2016 | A | 65,217 | A | — | May 31, 2025 | Common Stock | 65,217 | 65,217 | D |
| Employee Stock Option (Right to Buy)F2 | $27.00 | holding | — | — | — | — | May 31, 2018 | Common Stock | 50,000 | 50,000 | D |
| Employee Stock Option (Right to Buy)F1 | $54.00 | holding | — | — | — | — | May 31, 2021 | Common Stock | 37,500 | 37,500 | D |
| Employee Stock Option (Right to Buy)F3,F1 | $56.00 | holding | — | — | — | — | May 31, 2023 | Common Stock | 12,500 | 12,500 | D |
| Employee Stock Option (Right to Buy)F1 | $42.00 | holding | — | — | — | — | May 31, 2024 | Common Stock | 19,047 | 19,047 | D |
Explanation of responses
- F1These options will fully vest and become exercisable over a period of five years, with 50% vesting and becoming exercisable halfway through the relevant vesting period, and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) each year thereafter.
- F2These options will fully vest and become exercisable over a period of eight years, with 50% vesting and becoming exercisable halfway through the relevant vesting period, and the remainder vesting and becoming exercisable proportionately each year thereafter.
- F3Of the 112,500 options originally granted to the reporting person, 100,000 options were forfeited effective on January 1, 2016, in accordance with the issuer's stock option plan, when Mr. Hein was reassigned to a new position.
- F4Includes 300 shares maintained in a self directed IRA.
- F5The reporting person disclaims beneficial ownership of these shares.
- F6Shares attributed to reporting person's account within issuer's 401(K) Plan as of April 20, 2016.