-----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, KhhjPqvSYGgljaqKv7EYVvOyLg0g32zDXqBJNKZYvgUKRuaizcuoWHEtxTSaZUSj srqLhvqrBU0Q7ncFtToX+Q== 0001225208-09-024125.txt : 20091207 0001225208-09-024125.hdr.sgml : 20091207 20091207174646 ACCESSION NUMBER: 0001225208-09-024125 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091203 FILED AS OF DATE: 20091207 DATE AS OF CHANGE: 20091207 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: Volpi Michele CENTRAL INDEX KEY: 0001310628 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 091226956 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 doc4.xml X0303 4 2009-12-03 0000039368 FULLER H B CO FUL 0001310628 Volpi Michele 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 President and CEO Common Stock 2009-12-03 4 A 0 48007 0 A 157016.79 D Common Stock 2911.09 I By 401(k) Plan Employee Stock Option (Right-to-Buy) 20.57 2009-12-03 4 A 0 115740 20.57 A 2019-12-03 Common Stock 115740 115740 D Employee Stock Option (Right-to-Buy) 15.315 2012-06-27 Common Stock 5122 5122 D Employee Stock Option (Right-to-Buy) 13.95 2012-12-09 Common Stock 3364 3364 D Employee Stock Option (Right-to-Buy) 13.65 2013-12-03 Common Stock 10162 10162 D Employee Stock Option (Right-to-Buy) 14.49 2014-12-02 Common Stock 24464 24464 D Employee Stock Option (Right-to-Buy) 16.015 2015-12-01 Common Stock 39608 39608 D Employee Stock Option (Right-to-Buy) 26.79 2016-12-04 Common Stock 64309 64309 D Employee Stock Option (Right-to-Buy) 26.65 2017-12-06 Common Stock 80653 80653 D Employee Stock Option (Right-to-Buy) 14.15 2018-12-04 Common Stock 165622 165622 D Phantom Units 0 Common Stock 3129.62 3129.62 D Phantom Units 0 1988-08-08 Common Stock 765.56 765.56 D Amended and Restated 2000 Stock Incentive Plan: 123,008 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated 2000 Stock Incentive Plan. Amount includes 16,660 restricted shares that will vest effective December 4, 2009; 20,206 restricted shares that will vest effective December 6, 2010; 38,135 restricted shares that will vest effective December 4, 2011; and 48,007 restricted shares that will vest in three equal annual installments beginning on December 3, 2010. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated 2000 Stock Incentive Plan. 401(k) Plan: This amount includes shares and dividends acquired pursuant to the H.B.Fuller Company Thrift Plan. Amended and Restated 2000 Stock Incentive Plan: This option vests in three equal installments on January 31, 2011, December 3, 2011 and December 3, 2012. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on June 27, 2003. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on December 9, 2003. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on December 3, 2004. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on December 2, 2005. 2000 Stock Incentive Plan: This option vested in four equal annual installments beginning on 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. 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. Deferred Compensation Plan: These 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. Key Employee Deferred Compensation Plan Dividend Reinvestment: This amount includes stock units acquired pursuant to a dividend equivalent feature of the Key Employees' Deferred Compensation Plan. /s/ Timothy J. Keenan, Attorney-in-Fact 2009-12-07 -----END PRIVACY-ENHANCED MESSAGE-----