0001225208-12-003148.txt : 20120206 0001225208-12-003148.hdr.sgml : 20120206 20120206115731 ACCESSION NUMBER: 0001225208-12-003148 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110831 FILED AS OF DATE: 20120206 DATE AS OF CHANGE: 20120206 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: MITAU LEE R CENTRAL INDEX KEY: 0001185489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 12572577 MAIL ADDRESS: STREET 1: P O BOX 1441 CITY: MINNEAPOLIS STATE: MN ZIP: 55440-1441 4 1 doc4.xml X0304 4 2011-08-31 0000039368 FULLER H B CO FUL 0001185489 MITAU LEE R 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Common Stock 42815.8300 D Stock Units 0.0000 2011-08-31 4 A 0 24.8100 22.1700 A Common Stock 24.8100 60610.4100 D Stock Units 0.0000 2011-12-30 4 A 0 23.8000 23.1100 A Common Stock 23.8000 62662.8700 D Stock Units 0.0000 1988-08-08 Common Stock 43203.3800 43203.3800 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. These transactions relate to Board of Directors meetings held on August 25, 2011 and December 20, 2011, respectively, and were not timely filed due to administrative error. /s/ Timothy J. Keenan, Attorney-in-Fact 2012-02-06