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FASTENAL CO · Jan 5, 3:39 PM ET

FASTENAL CO 4

4 · FASTENAL CO · Filed Jan 5, 2017

Insider Transaction Report

Form 4
Period: 2017-01-03
Polipnick Gary A.
Executive Vice President
Transactions
  • Award

    Employee Stock Option (Right to Buy)

    2017-01-03+9,5749,574 total
    Exercise: $47.00Exp: 2026-12-31Common Stock (9,574 underlying)
Holdings
  • Common Stock

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

    61,059
  • Common Stock

    (indirect: By Spouse)
    898
  • Common Stock

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

    (indirect: By 401(k))
    7,247
Footnotes (4)
  • [F1]These 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.
  • [F2]Shares attributed to reporting person's account within issuer's 401(K) Plan as of December 31, 2016.
  • [F3]Includes 1,735 shares maintained in a self-directed IRA.
  • [F4]Reporting person disclaims beneficial ownership of these shares.

Documents

1 file
  • 4
    edgar.xmlPrimary

    FORM 4 -