-----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, WjpIWgJfyd2nO3IA5CVc6aQINIv8sxlLqAkkXuZJMv2FpWD1CqvJmfItSQmocFiy rvXf9jPthgEq9xvmp66O+g== 0001181431-09-030701.txt : 20090615 0001181431-09-030701.hdr.sgml : 20090615 20090615161526 ACCESSION NUMBER: 0001181431-09-030701 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090612 FILED AS OF DATE: 20090615 DATE AS OF CHANGE: 20090615 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: 1203 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: Keenan Timothy J CENTRAL INDEX KEY: 0001345567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 09892124 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 rrd246004.xml KEENAN FORM 4 X0303 4 2009-06-12 0 0000039368 FULLER H B CO FUL 0001345567 Keenan Timothy J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 0 1 0 0 VP, Gen. Counsel & Corp. Sec. Common Stock 1897.95 I By 401(k) Plan Common Stock 19349.44 D Employee Stock Option (Right-to-Buy) 14.49 2014-12-02 Common Stock 12232 12232 D Phantom Units 0 2009-06-12 4 A 0 14.85 19.13 A Common Stock 14.85 2414.66 D Employee Stock Option (Right-to-Buy) 16.015 2015-12-01 Common Stock 16776 16776 D Employee Stock Option (Right-to-Buy) 26.79 2016-12-04 Common Stock 16077 16077 D Employee Stock Option (Right-to-Buy) 26.65 2017-12-06 Common Stock 14200 14200 D Employee Stock Option (Right-to-Buy) 14.15 2018-12-04 Common Stock 28037 28037 D 401(k) Plan: This amount includes shares and dividends acquired during the fiscal year pursuant to the H.B. Fuller Company Thrift Plan. Amended and Restated 2000 Stock Incentive Plan: 14,177 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated 2000 Stock Incentive Plan. Amount includes 4,165 restricted shares that vest effective December 4, 2009; 3,557 restricted shares that vest effective December 6, 2010; and 6,455 restricted shares that vest effective December 4, 2011. Amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated 2000 Stock Incentive Plan. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on December 2, 2005. Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. Deferred Compensation Plan: These units (acquired after 12-31-04) 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, subject to holding periods required by law. Key Employee Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Key Employees' Deferred Compensation Plan. 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning December 1, 2006. Amended and Restated 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on December 4, 2007. Amended and Restated 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on December 6, 2008. Amended and Restated 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on December 4, 2009. /s/ Timothy J. Keenan 2009-06-15 -----END PRIVACY-ENHANCED MESSAGE-----