-----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, Hj/oJbCvXdisgmojnMm5rhHOpqPCujUMDlPscyt8r9K+MRT0QZFoFvbIBIZhTUHv S/f+vEUFHY8YS9jKoLVFRw== 0001225208-11-004569.txt : 20110202 0001225208-11-004569.hdr.sgml : 20110202 20110202151826 ACCESSION NUMBER: 0001225208-11-004569 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110131 FILED AS OF DATE: 20110202 DATE AS OF CHANGE: 20110202 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: 11566367 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 2011-01-31 0000039368 FULLER H B CO FUL 0001345567 Keenan Timothy J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Gen. Counsel & Corp. Sec. Common Stock 30046.3960 D Common Stock 1924.4600 I By 401(k) Plan Phantom Units 0.0000 2011-01-31 4 A 0 786.9900 22.7900 A Common Stock 786.9900 4358.4100 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 15822.0000 15822.0000 D Employee Stock Option (Right-to-Buy) 16.0150 2015-12-01 Common Stock 16776.0000 16776.0000 D Employee Stock Option (Right-to-Buy) 14.4900 2014-12-02 Common Stock 12232.0000 12232.0000 D Employee Stock Option (Right-to-Buy) 20.5700 2019-12-03 Common Stock 17505.0000 17505.0000 D Employee Stock Option (Right-to-Buy) 26.7900 2016-12-04 Common Stock 16077.0000 16077.0000 D Employee Stock Option (Right-to-Buy) 14.1500 2018-12-04 Common Stock 28037.0000 28037.0000 D Employee Stock Option (Right-to-Buy) 26.6500 2017-12-06 Common Stock 14200.0000 14200.0000 D Amended and Restated 2000 Stock Incentive Plan: 21,438 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated 2000 Stock Incentive Plan. This amount includes 4,165 restricted shares that vested effective December 4, 2009; 3,557 restricted shares that vested effective December 6, 2010; 6,455 restricted shares that will vest effective December 4, 2011; 7,261 restricted shares that will vest in three equal annual installments beginning on December 3, 2010 and 6,535 restricted shares that will vest in three equal annual installments beginning on January 20, 2012. 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 401(k) & Retirement Plan. 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. Amended and Restated 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 20, 2012. 2000 Stock Incentive Plan: This option is 100% vested. Amended and Restated 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on December 3, 2010. Amended and Restated 2000 Stock Incentive Plan: This option is 100% vested. Amended and Restated 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on December 4, 2009. Amended and Restated 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on December 6, 2008. /s/ Timothy J. Keenan 2011-02-02 -----END PRIVACY-ENHANCED MESSAGE-----