SEC Form 4 · accession 0001179110-17-014728
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary A. Polipnick
Officer — Executive Vice President
Period of report
Nov 28, 2017
Accepted (ET)
Nov 30, 2017 · 4:22 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 | Nov 28, 2017 | M | 30,000 | $27.00 | A | 91,059 | D | |
| Common StockF3 | Nov 28, 2017 | S | 30,000 | $50.0287 | D | 61,059 | D | |
| Common StockF2 | holding | — | — | — | 7,539 | 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 | $27.00 | Nov 28, 2017 | M | 30,000 | D | — | May 31, 2018 | Common Stock | 30,000 | 0 | 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 the remainder vesting and becoming exercisable proportionately each year thereafter.
- F2Shares attributed to reporting person's account within issuer's 401(K) Plan as of November 30, 2017 and includes 292 shares added to this account since the reporting person's last holdings report filed on January 5, 2017.
- F3Includes 1,735 shares maintained in a self-directed IRA.