0001225208-13-002179.txt : 20130128 0001225208-13-002179.hdr.sgml : 20130128 20130128161814 ACCESSION NUMBER: 0001225208-13-002179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130124 FILED AS OF DATE: 20130128 DATE AS OF CHANGE: 20130128 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: JENSEN TRACI L CENTRAL INDEX KEY: 0001533627 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 13551918 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 X0306 4 2013-01-24 0000039368 FULLER H B CO FUL 0001533627 JENSEN TRACI L 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Americas Adhesives Common Stock 2013-01-24 4 A 0 7140.0000 0.0000 A 22392.8190 D Common Stock 233.7297 I By 401(k) Plan Employee Stock Option (Right-to-Buy) 39.6400 2013-01-24 4 A 0 18712.0000 39.6400 A 2023-01-24 Common Stock 18712.0000 18712.0000 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 12658.0000 12658.0000 D Employee Stock Option (Right-to-Buy) 13.7500 2019-01-21 Common Stock 7640.0000 7640.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 14278.0000 14278.0000 D Employee Stock Option (Right-to-Buy) 23.6800 2020-04-14 Common Stock 6223.0000 6223.0000 D Employee Stock Option (Right-to-Buy) 20.5700 2019-12-03 Common Stock 4629.0000 4629.0000 D Amended and Restated Year 2000 Stock Incentive Plan: 24,398 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan. This amount includes 1,760 restricted shares that vested effective January 21, 2012; 1,920 restricted shares that vested in three equal annual installments beginning on December 3, 2010; 2,580 restricted shares that will vest in three equal annual installments beginning on April 14, 2011; 5,228 restricted shares that will vest in three equal annual installments beginning January 20, 2012; 5,770 restricted shares that will vest in three equal annual installments beginning January 26, 2013 and 7,140 shares that will vest in three equal annual installments beginning on January 24, 2014. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 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. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 20, 2012. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in four equal annual installments beginning on January 21, 2010. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 26, 2013. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on April 14, 2011. Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested. /s/ Timothy J. Keenan, Attorney-in-Fact 2013-01-28