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FASTENAL CO · Jan 27, 4:59 PM ET

FASTENAL CO 5

5 · FASTENAL CO · Filed Jan 27, 2016

Insider Transaction Report

Form 5
Period: 2015-12-31
Polipnick Gary A.
Executive Vice President
Transactions
  • Small Acquisition

    Common Stock

    2015-12-31$40.00/sh+17$68059,324 total
  • Deposit Into/Withdrawal From Voting Trust

    Common Stock

    2015-12-311,6720 total(indirect: By Trust)
Holdings
  • Common Stock

    (indirect: Held in custodian account for Daughter)
    963
  • Common Stock

    (indirect: By 401(k))
    6,838
  • Common Stock

    1,735
  • Common Stock

    (indirect: Held in custodian account for Daughter)
    1,862
  • Common Stock

    (indirect: By Spouse)
    898
Footnotes (5)
  • [F1]Shares acquired in connection with a dividend reinvestment program.
  • [F2]Shares maintained in self-directed IRA.
  • [F3]Reporting person's spouse served as a Trustee of a Trust for the benefit of the spouse's sibling and the Trust was dissolved on December 31, 2015, whereby the shares held in the Trust transferred to spouse's sibling on this date.
  • [F4]Shares attributed to reporting person's account within issuer's 401(K) Plan as of December 31, 2015.
  • [F5]Reporting person disclaims beneficial ownership of these shares.

Documents

1 file
  • 5
    edgar.xmlPrimary

    FORM 5 -