Statement of Changes in Beneficial Ownership (4)
May 13 2020 - 4:30PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Drazkowski William Joseph |
2. Issuer Name and Ticker or Trading Symbol
FASTENAL CO
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FAST
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) Executive Vice-President |
(Last)
(First)
(Middle)
806 OLYMPIC DRIVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
5/12/2020 |
(Street)
ONALASKA, WI 54650
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 5/12/2020 | | M | | 7142 | A | $21 | 12722 | D | |
Common Stock | 5/12/2020 | | S | | 7142 | D | $39.4015 | 5580 | D | |
Common Stock | | | | | | | | 4642 (3) | I | Held in 401K) Plan |
Common Stock | | | | | | | | 1252 | I | Owned by father (2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | $21 | 5/12/2020 | | M | | | 7142 | (1) | 5/31/2024 | Common Stcok | 7142 | $0 | 0 | D | |
Explanation of Responses: |
(1) | The option will fully vest and become exercisable over a period of five years, with 50% vesting and becoming exercisable half way through the relevant vesting period, and the remainder vesting and becoming exercisable incrementally (20%, 20% and 10%) each year thereafter. |
(2) | Shares are owned by reporting person's father for which reporting person maintains voting and investment power, but reporting person disclaims beneficial ownership over these shares. |
(3) | Shares attributed to reporting person's account within issuer's 401(K) Plan as of the date of this report and includes an additional 89 shares acquired since the reporting person's prior holdings report filed on October 23,2019. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Drazkowski William Joseph 806 OLYMPIC DRIVE ONALASKA, WI 54650 |
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| Executive Vice-President |
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Signatures
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John J. Milek, Attorney-in-Fact | | 5/13/2020 |
**Signature of Reporting Person | Date |
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