SEC Form 5 · accession 0001179110-18-001130
FASTENAL CO · FAST
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael J Ancius
Director
Period of report
Dec 31, 2017
Accepted (ET)
Jan 26, 2018 · 5:31 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 StockF1 | Dec 7, 2017 | G | 370 | $0.00 | D | 10,380 | D | |
| Common StockF1 | Dec 19, 2017 | G | 95 | $0.00 | D | 10,285 | D | |
| Common StockF2 | holding | — | — | — | 429 | I | Held in child custodian account |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Includes 1,420 shares held in the reporting person's self direct IRA and 8,865 shares held in a revocable trust for which the reporting person and his spouse share voting and investment power.
- F2Reporting person disclaims beneficial ownership of these shares.