SEC Form 4 · accession 0001179110-16-023278
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sheryl Ann Lisowski
Officer — Interim CFO/CAO/Controller
Period of report
Apr 19, 2016
Accepted (ET)
Apr 21, 2016 · 3:29 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 Stock | holding | — | — | — | 300 | D | ||
| Common StockF3 | holding | — | — | — | 801 | 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 | 9,782 | A | — | May 31, 2025 | Common Stock | 9,782 | 9,782 | D |
| Employee Stock Option (Right to Buy)F2 | $54.00 | holding | — | — | — | — | May 31, 2021 | Common Stock | 5,000 | 5,000 | D |
| Employee Stock Option (Right to Buy)F1 | $42.00 | holding | — | — | — | — | May 31, 2024 | Common Stock | 41,666 | 41,666 | 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.
- F3Shares attributed to reporting person's account within issuer's 401(K) Plan as of April 20, 2016.