Sec Form 4 Filing - Jansen James C @ FASTENAL CO - 2020-05-18

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Jansen James C
2. Issuer Name and Ticker or Trading Symbol
FASTENAL CO [ FAST]
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)
2001 THEURER BLVD.
3. Date of Earliest Transaction (MM/DD/YY)
05/18/2020
(Street)
WINONA, MN55987
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/18/2020 M 10,000 A $ 27 35,176 D
Common Stock 05/18/2020 S 10,000 D $ 40.1374 25,176 ( 4 ) D
Common Stock 05/18/2020 M 15,000 A $ 27 40,176 D
Common Stock 05/18/2020 S 15,000 D $ 40.1481 25,176 ( 4 ) D
Common Stock 17,582 ( 3 ) I Held in 401(K) Plan
Common Stock 160 ( 5 ) I Held in custodian account for children
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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) $ 27 ( 2 ) 05/18/2020 M 25,000 ( 2 ) ( 1 ) 05/31/2021 Common Stock 25,000 ( 2 ) $ 0 50,000 ( 2 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Jansen James C
2001 THEURER BLVD.
WINONA, MN55987
Executive Vice President
Signatures
John Milek, Attorney-in-Fact 05/20/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The option 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.
( 2 )The option was previously reported in a filing on 4/21/2016 as covering 37,500 securities at an exercise price of $54 and the amounts reported were adjusted to reflect a 2-for-1 stock split on May 22, 2019.
( 3 )On May 22, 2019, the common stock of Fastenal Company split 2-for-1 resulting in the reporting person acquiring indirectly an additional 9,247 shares since his holdings report filed on May 17, 2018, which additional shares consist of split shares and new money.
( 4 )On May 22, 2019, the common stock of Fastenal Company split 2-for-1 resulting the reporting person acquiring an additional 12,588 shares since the reporting person's report filed on May 17, 2018.
( 5 )On May 22, 2019, the common stock of Fastenal Company split 2-for-1 resulting in the acquisition of an additional 80 shares in this custodian account for his children since the reporting person's prior holdings report filed on January 5, 2017.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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