-----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, U3aAEmzSiT44jCRYFCrO76+JsbXQ5H2916hib1wKu5Ptcm8Mwq9jQ7HORPPE67Y2 rADmGYe50r/C8a1jCnL8GQ== 0001225208-10-014393.txt : 20100602 0001225208-10-014393.hdr.sgml : 20100602 20100602110725 ACCESSION NUMBER: 0001225208-10-014393 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100528 FILED AS OF DATE: 20100602 DATE AS OF CHANGE: 20100602 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 SANT R WILLIAM CENTRAL INDEX KEY: 0001219030 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 10871765 MAIL ADDRESS: STREET 1: PO BOX 1441 CITY: MINNEAPOLIS STATE: MN ZIP: 55440-1441 4 1 doc4.xml X0303 4 2010-05-28 0000039368 FULLER H B CO FUL 0001219030 VAN SANT R WILLIAM 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Common Stock 16541 D Stock Units 0 2010-05-28 4 A 0 934.72 21.33 A Common Stock 934.72 34373.56 D Stock Units 0 1988-08-08 Common Stock 14147.7 14147.7 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. Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis. Directors' Deferred Compensation Plan: These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan. Directors' Deferred Compensation Plan Dividend Reinvestment: This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan. /s/ Timothy J. Keenan, Attorney-in-Fact 2010-06-02 -----END PRIVACY-ENHANCED MESSAGE-----