SEC Form 4 · accession 0001179110-17-000491
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
LeLand J Hein
Officer — Senior Executive VP
Period of report
Jan 3, 2017
Accepted (ET)
Jan 5, 2017 · 3:45 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 | holding | — | — | — | 11,290 | 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 | — | — | — | 5,074 | 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 | $47.00 | Jan 3, 2017 | A | 18,298 | A | — | Dec 31, 2026 | Common Stock | 18,298 | 18,298 | 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.
- 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 31, 2016.