rrd16589_19022.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, K7J5h0sQc0QrzGBWXQ+Oqc6WKa55gTGuHhbrXEi/ooqV+/KqqE/ANXRk6CR6ZXUS VG3LF5njq8ahmm7Cir19QQ== 0001181431-03-034381.txt : 20031205 0001181431-03-034381.hdr.sgml : 20031205 20031205164734 ACCESSION NUMBER: 0001181431-03-034381 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031203 FILED AS OF DATE: 20031205 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: GACKI WILLIAM L CENTRAL INDEX KEY: 0001205448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 031040807 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 rrd24772.xml FORM 4 X0201 42003-12-030 0000039368 FULLER H B CO FUL 0001205448 GACKI WILLIAM L 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 0100Vice President, TreasurerCommon Stock17188DCommon Stock1306.52IBy 401(k) PlanCommon Stock2672DEmployee Stock Option (Right-to-Buy)27.302003-12-034J0508127.30A1988-08-082013-12-03Common Stock50815081DCommon Stock Units0.01988-08-081988-08-08Common Stock2407.342407.34DEmployee Stock Option (Right-to-Buy)21.501988-08-082008-12-02Common Stock33063306DEmployee Stock Option (Right-to-Buy)27.3751988-08-082009-12-01Common Stock47244724DEmployee Stock Option (Right-to-Buy)18.6251988-08-082010-12-07Common Stock86588658DEmployee Stock Option (Right-to-Buy)25.951988-08-082012-01-17Common Stock51235123DPhantom Stock0.01988-08-081988-08-08Common Stock2087.162087.16D401(k) Plan: This amount includes shares acquired during the fiscal year pursuant to the H.B. Fuller Company Thrift Plan.1992 Stock Incentive Plan: This amount includes shares acquired pursuant to a dividend reinvestment feature of the H.B. Fuller Company 1992 Stock Incentive Plan.2000 Stock Incentive Plan: This option vests in four equal installment beginning on December 3, 2004.Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis.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 p articipant.1992 Stock Incentive Plan: This option vests in four equal installments beginning on December 2, 1999.1992 Stock Incentive Plan: This option vests in four equal installments beginning on December 1, 2000.2000 Stock Incentive Plan: This option vests in four equal installments beginning on December 7, 2001.2000 Stock Incentive Plan: This option vests in four equal installments beginning on January 17, 2003.Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis.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.Steven E. Suckow, Attorney-in-Fact 2003-12-05 EX-24. 3 rrd16589_19022.htm POWER OF ATTORNEY rrd16589_19022.html

POWER OF ATTORNEY

KNOW ALL PERSONS BY THESE PRESENTS, that I, William L. Gacki constitute and appoint Patricia L. Jones, John A. Feenan, 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: October 6, 2003				/s/ William L. Gacki

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