SEC Form 4 · accession 0001179110-16-023279

FASTENAL CO · FAST

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

Reporting owner

Officer — Senior EVP

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^F3	holding	—	—		—	700	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	$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	$27.00	holding	—	—	—	—	May 31, 2018	Common Stock	30,000	30,000	D
Employee Stock Option (Right to Buy)^F2	$54.00	holding	—	—	—	—	May 31, 2021	Common Stock	2,500	2,500	D
Employee Stock Option (Right to Buy)^F2	$56.00	holding	—	—	—	—	May 31, 2023	Common Stock	7,500	7,500	D
Employee Stock Option (Right to Buy)^F1	$42.00	holding	—	—	—	—	May 31, 2024	Common Stock	41,666	41,666	D

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 with issuer's 401(K) Plan as of April 20, 2016.