-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Rx6fjaWtdDREOF77CFnOjnXKb5q8UYfywucdK7qkV2PFAFrlPJC+XE+HxwPx2DfX dAIxQE7ESrKNmLRu6JlULg== 0000950131-97-000662.txt : 19970211 0000950131-97-000662.hdr.sgml : 19970211 ACCESSION NUMBER: 0000950131-97-000662 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970207 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FASTENAL COMPANY CENTRAL INDEX KEY: 0000815556 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-BUILDING MATERIALS, HARDWARE, GARDEN SUPPLY [5200] IRS NUMBER: 410948415 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-39118 FILM NUMBER: 97520727 BUSINESS ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 BUSINESS PHONE: 5074545374 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SLAGGIE STEPHEN M CENTRAL INDEX KEY: 0000901069 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: FASTENAL CO STREET 2: 2001 THEURER BLVD P O BOX 978 CITY: WINONA STATE: MN ZIP: 55987 BUSINESS PHONE: 507-454-5374 MAIL ADDRESS: STREET 1: FASTENAL CO 2001 THEURER BLVD STREET 2: P O BOX 978 CITY: WINONA STATE: MN ZIP: 55987 SC 13G/A 1 SCHEDULE 13G AMENDMENT NO. 9 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 9)* Fastenal Company - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 311900 10 4 - -------------------------------------------------------------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 6 SEC 1745(2-95) - ----------------------- --------------------- CUSIP NO. 311900 10 4 PAGE 2 OF 6 PAGES - ----------------------- --------------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Stephen M. Slaggie - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2 (a) [_] Not Applicable (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF 2,028,972 SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 184,100 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 2,028,972 PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 184,100 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 2,213,072 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 Not Applicable - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 5.8% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12 IN - ------------------------------------------------------------------------------ *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 6 Item 1. (a) Name of Issuer Fastenal Company (b) Address of Issuer's Principal Executive Offices 2001 Theurer Boulevard Winona, Minnesota 55987 Item 2. (a) Name of Person Filing This filing is made by Stephen M. Slaggie (b) Address of Principal Business Office or, if None, Residence Stephen M. Slaggie Fastenal Company 2001 Theurer Boulevard Winona, Minnesota 55987 (c) Citizenship Stephen M. Slaggie is a citizen of the United States (d) Title of Class of Securities Common Stock, $.01 par value (e) CUSIP Number 311900 10 4 Item 3. If this statement is filed pursuant to Rule 13d-1(b) or 13d-2(b), check whether the person filing is a: (a) [_] Broker or Dealer registered under section 15 of the Act (b) [_] Bank as defined in section 3(a)(6) of the Act (c) [_] Insurance Company as defined in section 3(a)(19) of the Act (d) [_] Investment Company registered under section 8 of the Investment Company Act (e) [_] Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 (f) [_] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see (S) 240.13d-1(b)(1)(ii)(F) (g) [_] Parent Holding Company, in accordance with (S) 240.13d- 1(b)(ii)(G) (Note: See Item 7) (h) [_] Group, in accordance with (S) 240.13d-1(b)(1)(ii)(H) Not Applicable Page 3 of 6 Item 4. Ownership (a) Amount Beneficially Owned 2,213,072 (b) Percent of Class 5.8% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 2,028,972 (ii) shared power to vote or to direct the vote 184,100 (iii) sole power to dispose or to direct the disposition of 2,028,972 (iv) shared power to dispose or to direct the disposition of 184,100 See Item 6 for further information regarding the nature of the reporting person's beneficial ownership of certain of the above-referenced shares. Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [_]. Not Applicable Item 6. Ownership of More than Five Percent on Behalf of Another Person. The shares listed in Item 4 include (i) 120,000 shares held by the reporting person's wife, (ii) an aggregate of 33,100 shares held by an adult child of the reporting person and by the reporting person as custodian for that child, (iii) 33,100 shares held by the reporting person as custodian for a minor child of the reporting person, and (iv) an aggregate of 31,000 shares held by Hiawatha Education Foundation, a Minnesota non-profit corporation of which the reporting person is a director and member, and by its wholly-owned subsidiary, of which the reporting person is a director (collectively the "Foundation"). The reporting person disclaims beneficial ownership of all such shares. The reporting person's wife has the right to receive and the power to direct the receipt of dividends from, and the proceeds of the sale of, the shares held by her. The reporting person's adult child has the right to receive and the power to direct the receipt of dividends from, and the proceeds of the sale of, the shares held by her and the shares held by the reporting person as custodian for her. The reporting person has the right to receive and the power to direct the receipt of dividends from, and the proceeds of the sale of, the shares held by him as custodian for his minor child until such child reaches the appropriate age of majority. Upon reaching the appropriate age, such child will have the right to receive and the power to direct the receipt of such dividends and proceeds. The Foundation has the right to receive and the power to direct the receipt of dividends from, and the proceeds of the sale of, the shares held by it. The Foundation's directors and members, including the reporting person, have the power to authorize actions on behalf of the Foundation, but have no right as such to share in any dividends from, or any proceeds of the sale of, the shares held by the Foundation. The shares held by the Foundation were donated to it by directors and members of the Foundation. Page 4 of 6 Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not Applicable Item 8. Identification and Classification of Members of the Group Not Applicable Item 9. Notice of Dissolution of Group Not Applicable Item 10. Certification Not Applicable Page 5 of 6 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 7, 1997 ------------------------------- Date /s/ Stephen M. Slaggie ------------------------------- Signature Stephen M. Slaggie ------------------------------- Name Page 6 of 6 -----END PRIVACY-ENHANCED MESSAGE-----