0001179110-21-000887.txt : 20210128 0001179110-21-000887.hdr.sgml : 20210128 20210128121107 ACCESSION NUMBER: 0001179110-21-000887 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210128 DATE AS OF CHANGE: 20210128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACKSON DARREN R CENTRAL INDEX KEY: 0001191188 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-16125 FILM NUMBER: 21563356 MAIL ADDRESS: STREET 1: C/O BEST BUY INC STREET 2: 7075 FLYING CLOUD DR CITY: EDEN PRAIRIE STATE: MN ZIP: 55344 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FASTENAL CO 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 BUSINESS ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 BUSINESS PHONE: 5074545374 MAIL ADDRESS: STREET 1: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 5 1 edgar.xml FORM 5 - X0306 5 2020-12-31 1 0 1 0000815556 FASTENAL CO FAST 0001191188 JACKSON DARREN R 290 WOODLAWN AVENUE ST. PAUL MN 55105 1 0 0 0 Common Stock 2020-05-01 4 S 0 L 18000 35.71 D 30000 D Shares maintained in a revocable trust for with the reporting person shares voting and investment power with his spouse. The transaction resulted in a net loss to the reporting person in relationship to the prior transaction reported in his Form 4 filed on January 24,2020. /s/ John J. Milek, Attorney-in-Fact 2021-01-28