-----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, DeVJz5R1p1/g9epVy67abC+GxCmkAc7SJy6mOLrOuEVH9H/GnR1Z7AFMHTONmnKr V4T7B99s2y/IZvIojXQmLw== 0001225208-09-021433.txt : 20091103 0001225208-09-021433.hdr.sgml : 20091103 20091103134438 ACCESSION NUMBER: 0001225208-09-021433 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091030 FILED AS OF DATE: 20091103 DATE AS OF CHANGE: 20091103 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: VAN RODEN JOHN C JR CENTRAL INDEX KEY: 0001080246 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 091153786 MAIL ADDRESS: STREET 1: 96 SOUTH GEORGE STREET STREET 2: SUITE 500 CITY: YORK STATE: PA ZIP: 17401 4 1 doc4.xml X0303 4 2009-10-30 0000039368 FULLER H B CO FUL 0001080246 VAN RODEN JOHN C JR 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Common Stock 14961 D Stock Units 0 2009-10-30 4 A 0 230.24 19.11 A Common Stock 230.24 10335.61 D Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. Directors' Deferred Compensation Plan: These units (acquired after 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law. Directors' Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan. /s/ Timothy J. Keenan, Attorney-in-Fact 2009-11-03 -----END PRIVACY-ENHANCED MESSAGE-----