rrd3437_3695.html

-----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, U3ldcbKZ+2z9oFYp37TZYnL3YhMoZqxxC6LD7/RhoNNC3K1h/cffmERCegVa3IXg 0YT2BUq/LX1Vwl2cI8torg== 0001181431-03-011447.txt : 20030624 0001181431-03-011447.hdr.sgml : 20030624 20030624095444 ACCESSION NUMBER: 0001181431-03-011447 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20030620 FILED AS OF DATE: 20030624 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FULLER H B CO CENTRAL INDEX KEY: 0000039368 STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891] IRS NUMBER: 410268370 STATE OF INCORPORATION: MN FISCAL YEAR END: 1130 BUSINESS ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD CITY: ST PAUL STATE: MN ZIP: 55110-5132 BUSINESS PHONE: 6126453401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TUCKER RAYMOND A CENTRAL INDEX KEY: 0001205443 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 03754243 BUSINESS ADDRESS: STREET 1: C/O H B FULLER CO STREET 2: P.O. BOX 64683 CITY: ST PAUL STATE: MN ZIP: 55164-0683 BUSINESS PHONE: 6512365825 MAIL ADDRESS: STREET 1: H.B. FULLER COMPANY STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 rrd11565.xml FORM 4 X0101 4 2003-06-20 0 0000039368 FULLER H B CO FUL 0001205443 TUCKER RAYMOND A 0 1 0 0 Sr V P, CFO Phantom Stock 0.0 2003-06-20 4 A 0 165.38 23.56 A 1988-08-08 1988-08-08 Common Stock 165.38 19554.67 D Deferred Compensation Plan: Units convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee Deferred Compensation Plan or such earlier date as selected by the participant. Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis. See attached Exhibit 2 for additional number of securities beneficially owned by reporting person. This information is shown as an exhibit as the Form 4 would not allow inclusion of this data. Steven E. Suckow, Attorney-in-Fact 2003-06-23 EX-24. 3 rrd3437_3695.htm POWER OF ATTORNEY rrd3437_3695.html POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that I, Raymond A Tucker, hereby constitute and appoint Patricia L. Jones, Albert P.L. Stroucken, and Steven E. Suckow, and each of them, my true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution for me and in my name, place and stead, to sign any reports on Form 3 (Initial Statement of Beneficial Ownership of Securities), Form 4 (Statement of Changes in Beneficial Ownership of Securities) and Form 5 (Annual Statement of Beneficial Ownership of Securities) relating to transactions by me in Common Stock or other securities of H.B. Fuller Company, and all amendments thereto, and to file the same, with the Securities and Exchange Commission and the appropriate securities exchange, granting unto said attorneys-in-fact and agents, and each of them, or their substitutes, full power and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as fully to all intents and purposes as I might or could do in person, hereby ratify and confirming all that said attorneys-in-fact and agents, and each of them, or their substitutes, may lawfully do or cause to be done by virtue hereof. This Power of Attorney shall be effective until such time as I deliver a written revocation thereof to the above-named attorneys-in-fact and agents.

Dated: September 13, 2002 /s/ Raymond A. Tucker

EX-99. 4 rrd3437_3698.htm SECURITIES BENEFICIALLY OWNED AT END OF PERIOD rrd3437_3698.html Exhibit 2

Raymond A. Tucker
H.B. Fuller Company
June 23, 2003

FORM 4 - AMOUNT OF SECURITIES OWNED AT END OF PERIOD

Table I:

Direct Ownership 440 Shares

Indirect Ownership 510.22 Shares By 401(k) Plan

Table II:

Employee Stock Option & nbsp;               20,000 Shares @ $34.3125/share
(Right-to-Buy)                        vests in 4 equal installments                                                                 beginning on July 1, 2000
                                        expiring on July 1, 2009

Employee Stock Option ;               14,170 Shares @ $27.375/share
(Right-to-Buy)                        vests in 4 equal installments                                                                 beginning on December 1, 2000
                                        expiring December 1, 2009

Employee Stock Option ;               30,304 Shares @ $18.625/share
(Right-to-Buy)                        vests in 4 equal installments                                                                 beginning on December 7, 2001
                                        expiring on December 7, 2010

Employee Stock Option&n bsp;               17,930 Shares @ $25.95/share
(Right-to-Buy)                        vests in 4 equal installments
                                        beginning on January 17, 2003
                                        expiring on January 17, 2012

Call Option 1 Pre-Paid Forward Contract for 63,860 Shares. (Obligation to Sell) Agreement entered on November 14, 2002 with a down side protection price of $29.50/share and an upside participation price of $35.40/share. &nbs p; Reporting person retains voting rights on these
shares.

Put Option 1 Pre-Paid Forward Contract for 63,860 Shares. (Right to Sell) Agreement entered on November 14, 2002 with a down &n bsp; side protection price of $29.50/share and an upside participation price of $35.40/share. Reporting person retains voting rights on these
&n bsp; shares.

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