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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 9)*
Fastenal Company
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
311900 10 4
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(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)
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CUSIP NO. 311900 10 4 PAGE 2 OF 6 PAGES
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NAME OF REPORTING PERSON
1 S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Stephen M. Slaggie
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
Not Applicable
(b) [_]
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SEC USE ONLY
3
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CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
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SOLE VOTING POWER
5
NUMBER OF 2,028,972
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
184,100
OWNED BY
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EACH SOLE DISPOSITIVE POWER
7
REPORTING 2,028,972
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
184,100
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
2,213,072
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
Not Applicable
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
11
5.8%
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TYPE OF REPORTING PERSON*
12
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 6
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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
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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
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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
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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
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Date
/s/ Stephen M. Slaggie
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Signature
Stephen M. Slaggie
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Name
Page 6 of 6
